Individual
REGINALD JOSEPH LABOSSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 S 5TH AVE # 181, HINES, IL 60141-3030
(708) 202-2592
Mailing address
5000 S. 5 TH AVE. (181), HINES, IL 60141
(708) 202-2592
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036116714
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
228835
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME109459
FL
Other
Enumeration date
05/05/2006
Last updated
01/25/2012
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