Individual
SAMANTHA DE LOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC2050, CHICAGO, IL 60637-1443
(773) 702-6118
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036.145581
IL
207V00000X
Obstetrics & Gynecology Physician
5629
MD
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036.145581
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2014
Last updated
02/28/2022
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