Reyes, Maria R

Reyes, Maria R is an sole proprietor health care provider with primary practice located at 1645 W Jackson Blvd , Chicago IL 60612-3276. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Reyes, Maria R can be contacted via phone (312) 942-2777.

Contact Information

Primary practice address
1645 W Jackson Blvd Chicago IL 60612-3276
Phone: (312) 942-2777
Fax: (312) 942-2822
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209.001736 Illinois

Profile Details

NPI number 1548494255
LBN Legal business name Reyes, Maria R
Credentials PHD, WHNP, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2009
Last updated Dec 18th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548494255 NPPES
Illinois Other 209.001736 APN LICENSURE
Illinois Other REY104282734 APN LICENSURE

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