Individual
DR. REDA KILANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 S WASHINGTON ST, SUITE 288, NAPERVILLE, IL 60540-6603
(630) 355-8828
(630) 355-8837
Mailing address
640 S WASHINGTON ST, SUITE 288, NAPERVILLE, IL 60540-6603
(630) 355-8828
(630) 355-8837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036076152
IL
208000000X
Pediatrics Physician
036076152
IL
208D00000X
General Practice Physician
Primary
036076152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036076152
MEDICAL LICENSE NUMBER
IL
05
—
036076152
—
IL
01
—
336039443
SUBSTANCE CONTOL NUMBER
IL
Enumeration date
07/20/2006
Last updated
03/07/2023
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