Individual
JESSICA LAUREN REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 WAUKEGAN RD, SUITE 210, MORTON GROVE, IL 60053-2127
(847) 967-5122
(847) 967-5125
Mailing address
9000 WAUKEGAN RD, 210, MORTON GROVE, IL 60053-2127
(847) 967-5122
(847) 967-5125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003879
IL
Other
Enumeration date
09/23/2010
Last updated
10/24/2011
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