Individual
DR. DIEGO PAUL REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-6842
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.156568
IL
207L00000X
Anesthesiology Physician
945352
NY
Other
Enumeration date
07/24/2013
Last updated
06/27/2021
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