MEDICARE: EVA REYMER

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1568560381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA REYMER

Provider Business Mailing Address
First Line	:	1250 S MICHIGAN AVE
Second Line	:	SUITE 1509
City	:	CHICAGO
State	:	IL
Zip	:	60605-2548
Country	:	US
Telephone Number	:	312-405-5002
Fax Number	:	312-698-8799

Provider Business Practice Location Address
First Line	:	1250 S MICHIGAN AVE
Second Line	:	SUITE 1509
City	:	CHICAGO
State	:	IL
Zip	:	60605-2548
Country	:	US
Telephone Number	:	312-405-5002
Fax Number	:	312-698-8799

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/20/2011

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Directions to “ EVA REYMER ” Practice Location

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