Individual
KIRA LYNN REICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, FAPC, URBANA, IL 61820
(217) 902-6954
(217) 902-7711
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61820
(217) 902-6954
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
036172017
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
12/23/2024
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