Reyna, Chantal R

Reyna, Chantal R is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Reyna, Chantal R can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X Q0350 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 35134346 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X LL1881 Nevada
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036163442 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X ME117508 Florida

Profile Details

NPI number 1902067697
LBN Legal business name Reyna, Chantal R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Mar 21st, 2023 - about 2 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 1902067697 NPPES
Texas MEDICAID 340621701

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