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NPI Code Detail

MEDICARE: KATHERINE REY

MEDICARE: KATHERINE REY
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
1235Z00000XSpeech-Language Pathologist146009382IL

General Provider Information

NPI Number : 1548585508
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE REY
Provider Business Mailing Address
First Line : 10 E ONTARIO ST
Second Line : 2605
City : CHICAGO
State : IL
Zip : 60611-2736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5905 W WASHINGTON BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60644-2845
Country : US
Telephone Number : 773-287-0390
Fax Number : 773-287-0394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2010
Last Update Date : 04/02/2010

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Directions to “ KATHERINE REY ” Practice Location

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