Individual
WILLIAM J REDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, BOX 152, CHICAGO, IL 60611-2605
(773) 880-6903
(773) 880-3068
Mailing address
225 E CHICAGO AVE, BOX 152, CHICAGO, IL 60611-2605
(773) 880-6903
(773) 880-3068
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-108585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992758544
CMMG NPI
IL
01
—
36-4187449
CMMG TAX ID
IL
Enumeration date
06/05/2006
Last updated
06/26/2012
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