Individual
DOMENICA REDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
3301 N ASHLAND AVE, CHICAGO, IL 60657-2127
(312) 429-5725
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.444908
IL
363L00000X
Nurse Practitioner
Primary
209025545
IL
363LF0000X
Family Nurse Practitioner
209025545
IL
Other
Enumeration date
07/14/2022
Last updated
06/08/2026
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