Individual
MR. EDGARDO APOSTOL REYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
816 FEATHERSTONE RD, ROCKFORD, IL 61107-6300
(815) 227-0081
(815) 387-5316
Mailing address
4615 LINDBLOOM LN, CHERRY VALLEY, IL 61016-9122
(815) 580-8050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036104492
IL
207Q00000X
Family Medicine Physician
44348-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VA D0000
UPIN NUMBER VA
IL
Enumeration date
04/02/2007
Last updated
03/26/2013
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