Individual
JESSICA LIL PORTER REEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 S 7TH ST, DEKALB, IL 60115-3837
(815) 501-9832
Mailing address
430 S 7TH ST, DEKALB, IL 60115-3837
(815) 501-9832
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2250103
IL
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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