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NPI Code Detail

MEDICARE: DR. DONALD LYNN REED DC, L AC

MEDICARE: DR. DONALD LYNN REED DC, L AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist198000182IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11682532OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1427023415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD LYNN REED DC, L AC
Provider Business Mailing Address
First Line : 3301 W 111TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2715
Country : US
Telephone Number : 773-881-0888
Fax Number : 773-881-8182
Provider Business Practice Location Address
First Line : 3301 W 111TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2715
Country : US
Telephone Number : 773-881-0888
Fax Number : 773-881-8182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 03/26/2015

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