Individual
DR. LEO A REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1664 S. EASTWOOD DRIVE, WOODSTOCK, IL 60098-4655
(815) 338-5940
(815) 338-5940
Mailing address
1664 S. EASTWOOD DRIVE, WOODSTOCK, IL 60098-4655
(815) 338-5940
(815) 206-5919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036045343
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-045343
—
IL
Enumeration date
06/20/2005
Last updated
02/20/2012
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