Individual
REENA A GHODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 W HARRISON ST, CHICAGO, IL 60612-3800
(312) 942-5000
Mailing address
850 N STATE ST, APT 20H, CHICAGO, IL 60610-8665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.054740
IL
2084N0400X
Neurology Physician
Primary
036-130677
IL
2084N0600X
Clinical Neurophysiology Physician
036-130677
IL
Other
Enumeration date
08/06/2008
Last updated
03/07/2024
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