Individual
MS. CHERYL REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 W 80TH PL, CHICAGO, IL 60620-5913
(773) 419-3205
Mailing address
2304 W 80TH PL, CHICAGO, IL 60620-5913
(773) 419-3205
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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