MEDICARE: CORINNE 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
1	183500000X	Pharmacist	051.305250	IL

General Provider Information

NPI Number	:	1538872262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINNE REED

Provider Business Mailing Address
First Line	:	10901 S PARNELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60628-3231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6507 GRAND AVE
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-1643
Country	:	US
Telephone Number	:	847-855-0990
Fax Number	:

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

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	12/27/2022

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Directions to “ CORINNE REED ” Practice Location

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