Individual
OLIVIA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 GREENLEAF ST STE E, PARK CITY, IL 60085-5708
(847) 249-5700
Mailing address
445 E ILLINOIS ST UNIT 4603, CHICAGO, IL 60611-5370
(707) 330-5651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036517
IL
Other
Enumeration date
09/01/2020
Last updated
12/09/2025
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