Individual
MATTHEW KEVIN REDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD STE 300, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7884
Mailing address
1000 N WESTMORELAND RD STE 300, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7884
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036161509
IL
207L00000X
Anesthesiology Physician
35199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136789
—
AZ
01
—
P00769837
MEDICARE RAILROAD
—
Enumeration date
08/30/2006
Last updated
04/10/2023
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