Individual
JUDITH REY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4720
(708) 216-8795
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4403
(708) 216-3375
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.009661
IL
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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