Individual
ELIZABETH R REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5841 S MARYLAND AVE # MC7120, CHICAGO, IL 60637-1443
(872) 588-2076
Mailing address
5841 S MARYLAND AVE # MC7120, CHICAGO, IL 60637-1443
(773) 702-6140
(773) 702-2126
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.017829
IL
Other
Enumeration date
07/10/2018
Last updated
09/24/2020
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