Individual
CALEB MANUEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRIST
Contact information
Practice address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(773) 388-1600
(773) 388-8664
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(210) 835-5091
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.155274
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.155274
—
IL
Enumeration date
03/24/2017
Last updated
09/07/2022
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