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NPI Code Detail

MEDICARE: PATRICIA REED

MEDICARE:   PATRICIA  REED
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1467896159
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA REED
Provider Business Mailing Address
First Line : 6924 W CRANDALL AVE
Second Line :
City : WORTH
State : IL
Zip : 60482-1431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6924 W CRANDALL AVE
Second Line :
City : WORTH
State : IL
Zip : 60482-1431
Country : US
Telephone Number : 708-212-7273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2013
Last Update Date : 04/24/2013

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Directions to “ PATRICIA REED ” 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.