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General NPI Number Information
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NPI Number | 1083045785
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Entity Type | Organization
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Legal Business Name | JOANNA REAVES DC, LTD
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Dates
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Enumeration Date | 12/05/2013
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 500 N DEARBORN ST STE 700
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City | CHICAGO
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State | IL
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Zip | 60654
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Country | US
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Telephone | 312-767-6600
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Fax | 312-767-6600
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Provider Business Mailing Address
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Address Line | 500 N DEARBORN ST STE 700
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City | CHICAGO
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State | IL
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Zip | 60654
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Country | US
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Telephone | 313-767-6600
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Fax | 312-767-6601
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. JOANNA ELIZABETH REAVES
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Credential | DC
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Telephone | 312-767-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.012312
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License Number State | IL
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