Reynolds, Marleta
Reynolds, Marleta is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Reynolds, Marleta can be contacted via phone (800) 543-7362.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 036062051 | Illinois |
Profile Details
| NPI number | 1336135904 |
|---|---|
| LBN Legal business name | Reynolds, Marleta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | May 10th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336135904 | NPPES |
| Illinois | MEDICAID | 036062051 |
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