Individual
DR. LISA MICHELLE HENRY-REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 W POLK ST, ROOM 1111, CHICAGO, IL 60612-3723
(312) 864-3585
(312) 864-9721
Mailing address
1900 W POLK ST, ROOM 1111, CHICAGO, IL 60612-3723
(312) 864-3585
(312) 864-9721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-073772
IL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036073772
IL
Other
Enumeration date
03/01/2011
Last updated
04/26/2021
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