Anderson, Reginald

Anderson, Reginald is an individual health care provider with primary practice located at 328 Peterson Rd , Libertyville IL 60048-1008. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as his primary health care specialty. Anderson, Reginald can be contacted via phone (847) 549-1705.

Contact Information

Primary practice address
328 Peterson Rd Libertyville IL 60048-1008
Phone: (847) 549-1705
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X V6RA26-12 Illinois

Profile Details

NPI number 1740532589
LBN Legal business name Anderson, Reginald
Credentials M.E.S. MEDICAL EXERC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2012
Last updated Oct 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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