Individual
MR. BRENNAN R REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
601 S 8TH ST, QUINCY, IL 62301
(217) 222-6381
(217) 228-8726
Mailing address
601 S 8TH ST, QUINCY, IL 62301
(217) 222-6381
(217) 228-8726
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004104
—
IL
01
—
60201280
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/12/2006
Last updated
11/12/2010
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