Mrs Jaclyn Reider, CPNP-AC | |
225 E Chicago Ave, Chicago, IL 60611-2991 | |
(312) 227-4000 | |
Not Available |
Full Name | Mrs Jaclyn Reider |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 225 E Chicago Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992175715 | NPI | - | NPPES |
041390173 | Other | IL | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209013232 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ann & Robert H Lurie Childrens Hospital Of Chicago | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pediatric Faculty Foundation Inc | 4789597279 | 104 |
Entity Name | Pediatric Faculty Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jaclyn Reider, CPNP-AC 400 Geneva Rd, Glen Ellyn, IL 60137-3714 Ph: (630) 415-8136 | Mrs Jaclyn Reider, CPNP-AC 225 E Chicago Ave, Chicago, IL 60611-2991 Ph: (312) 227-4000 |
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