Individual
ESTIENNE REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5115 N FRANCISCO AVE, CHICAGO, IL 60625-3611
(773) 271-2225
(773) 271-1145
Mailing address
5115 N FRANCISCO AVE, CHICAGO, IL 60625-3611
(773) 271-2225
(773) 271-1145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010240
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2021
Last updated
07/22/2024
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