Deborah Reed Md Sc | |
1 Westminster Street Suite 104 Lake Forest IL 60045-2774 | |
(847) 295-4248 | |
Not Available |
Full Name | Deborah Reed Md Sc |
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Speciality | Clinic/Center |
Location | 1 Westminster Street, Lake Forest, Illinois |
Authorized Official Name and Position | Deborah Reed (PRESIDENT) |
Authorized Official Contact | 8472954248 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deborah Reed Md Sc 1 Westminster Street Suite 104 Lake Forest IL 60045-2774 Ph: (847) 295-4248 | Deborah Reed Md Sc 1 Westminster Street Suite 104 Lake Forest IL 60045-2774 Ph: (847) 295-4248 |
NPI Number | 1902102882 |
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Provider Enumeration Date | 02/10/2011 |
Last Update Date | 07/31/2013 |
Medicare PECOS PAC ID | 0042495541 |
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Medicare Enrollment ID | O20110427000432 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902102882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | 036069293 (Illinois) | Primary |
Provider Name | Deborah A Reed |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275635757 PECOS PAC ID: 2365574142 Enrollment ID: I20100714000148 |
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