Individual
COLLEEN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2639
(847) 733-5618
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3175
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
01/26/2026
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