Healthcare Provider Details

I. General information

NPI: 1902739147
Provider Name (Legal Business Name): REJEIGH J PIERCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E TERRA COTTA AVE STE 244
CRYSTAL LAKE IL
60014-3655
US

IV. Provider business mailing address

855 RHODES ST
WOODSTOCK IL
60098-2330
US

V. Phone/Fax

Practice location:
  • Phone: 815-354-8200
  • Fax:
Mailing address:
  • Phone: 815-861-3275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: