Individual
NICOLE REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E WILLOW AVE, WHEATON, IL 60187-5426
(312) 235-9393
Mailing address
222 E WILLOW AVE, WHEATON, IL 60187-5426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149023530
IL
104100000X
Social Worker
Primary
150.102908
IL
Other
Enumeration date
05/16/2019
Last updated
02/13/2026
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