Individual
DR. ROY C REESE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
12247 S RACINE AVE, CALUMET PARK, IL 60643-5401
(312) 687-0198
Mailing address
12247 S RACINE AVE, CALUMET PARK, IL 60643-5401
(312) 687-0198
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
03/05/2020
Last updated
02/26/2021
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