MEDICARE: JUSTIN ROSS REYES RDH

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
1	124Q00000X	Dental Hygienist	020.014285	IL

General Provider Information

NPI Number	:	1801309828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN ROSS REYES RDH

Provider Business Mailing Address
First Line	:	6340 CAPULINA AVE APT 3D
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-2896
Country	:	US
Telephone Number	:	312-487-6668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 W LAWRENCE AVE FL 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5017
Country	:	US
Telephone Number	:	773-275-2586
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2017
Last Update Date	:	11/13/2017

Similar Medicare Providers

1073514972 — TERESA J SAVINO NP
Practice Location Address:

1015 W LAWRENCE AVE , 2ND FLOOR
CHICAGO, IL
60640-5017

Practice Phone: 773-751-1704
Practice Fax: 773-751-4175

1184625857 — JEFFERY PAUL STONE DC
Practice Location Address:

1015 W LAWRENCE AVE , 2ND FLOOR
CHICAGO, IL
60640-5017

Practice Phone: 773-751-1704
Practice Fax: 773-751-4175

1801888193 — DIANE JUDGE NP
Practice Location Address:

1015 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-751-1704
Practice Fax: 773-751-4175

1023090990 — DR. JOHN GAVEND SONNENBERG PHD
Practice Location Address:

1021 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-989-8313
Practice Fax: 773-989-9692

1134196231 — STEPHANIE L LUTHER M.D.
Practice Location Address:

1015 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-751-1859
Practice Fax:

1215946603 — DR. FELIKS S MAVASHEV MD
Practice Location Address:

1007 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-271-1500
Practice Fax: 773-271-2048

1790859213 — PHARMCHEMETICS INC
Practice Location Address:

1001 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-561-2288
Practice Fax: 773-561-5332

Directions to “ JUSTIN ROSS REYES RDH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.