| Leo A. Reyes, M.d.,p.c. | |
|
1664 S. Eastwood Drive Woodstock IL 60098-4655 | |
| (815) 338-5940 | |
| (815) 338-5940 |
| Full Name | Leo A. Reyes, M.d.,p.c. |
|---|---|
| Speciality | General Practice |
| Location | 1664 S. Eastwood Drive, Woodstock, Illinois |
| Authorized Official Name and Position | Leo A. Reyes (PRESIDENT) |
| Authorized Official Contact | 8153385940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo A. Reyes, M.d.,p.c. 1664 S. Eastwood Drive Woodstock IL 60098-4655 Ph: (815) 338-5940 | Leo A. Reyes, M.d.,p.c. 1664 S. Eastwood Drive Woodstock IL 60098-4655 Ph: (815) 338-5940 |
| NPI Number | 1083919419 |
|---|---|
| Provider Enumeration Date | 01/16/2011 |
| Last Update Date | 02/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083919419 | NPI | - | NPPES |
| 036045343 | Medicaid | IL | |
| 036-045343 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036.045343 (Illinois) | Primary |
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