Individual
DR. SALLY LOUISE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
DEPARTMENT OF EMERGENCY MEDICINE, 225 EAST CHICAGO AVENUE, CHICAGO, IL 60611
(800) 543-7362
(312) 227-9475
Mailing address
DEPARTMENT OF EMERGENCY MEDICINE, 225 EAST CHICAGO AVENUE, CHICAGO, IL 60611
(800) 543-7362
(312) 227-9475
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
036071339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071339
—
IL
Enumeration date
03/20/2006
Last updated
05/22/2020
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