Reyes, Marisa

Reyes, Marisa is an individual health care provider with primary practice located at 3046 127Th St , Blue Island IL 60406-1827. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Reyes, Marisa can be contacted via phone (708) 377-7920.

Contact Information

Primary practice address
3046 127Th St Blue Island IL 60406-1827
Phone: (708) 377-7920
Fax: (708) 930-0414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.398512 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277.002190 Illinois

Profile Details

NPI number 1568997369
LBN Legal business name Reyes, Marisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2017
Last updated Aug 22nd, 2023 - about last year

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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