Individual
MARIA R REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, WHNP, CNP
Contact information
Practice address
1645 W JACKSON BLVD, CHICAGO, IL 60612-3276
(312) 942-2777
(312) 942-2822
Mailing address
10824 S KOLMAR AVE, OAK LAWN, IL 60453-5619
(708) 424-0053
(312) 942-2822
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209.001736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.001736
APN LICENSURE
IL
01
—
REY104282734
NCC CERTIFICATION
IL
Enumeration date
05/08/2009
Last updated
12/18/2015
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