Individual
MR. JOSE GUADALUPE REYES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2418 ELMWOOD AVE, BERWYN, IL 60402-2624
(708) 238-4478
Mailing address
2418 ELMWOOD AVE, BERWYN, IL 60402-2624
(708) 238-4478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041295566
IL
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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