Individual
KOKLA LYNN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 120TH PL, BLUE ISLAND, IL 60406-1222
(414) 243-4112
Mailing address
2204 120TH PLACE BLUE ISLAND, BLUE ISLAND, IL 60406
(414) 243-4112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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