Individual
CHRISTOPHER JESUS REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 W ROOSEVELT RD, DHSP 538, MC 727, CHICAGO, IL 60608
(312) 413-1871
(312) 413-1593
Mailing address
1640 W ROOSEVELT RD, DHSP 538, MC 727, CHICAGO, IL 60608
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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