Healthcare Provider Details

I. General information

NPI: 1730541442
Provider Name (Legal Business Name): ERIN ELIZABETH REED MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 04/27/2022
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 DEMPSTER ST STE 145
PARK RIDGE IL
60068-1125
US

IV. Provider business mailing address

9301 GOLF RD STE 101
DES PLAINES IL
60016-1600
US

V. Phone/Fax

Practice location:
  • Phone: 847-655-8530
  • Fax:
Mailing address:
  • Phone: 847-318-9350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036.150591
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: