Doctor Name: | MRS. CARIANE M REESE |
NPI Number: | 1003930611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 085-002785 |
Business Practice Address: | 351 Delnor Drive #310 Geneva, IL - 60134 |
Business Phone Number: | 6303778708 |
Business Fax Number: | 6303778774 |
Mailing Address: | 1860 Paysphere Cir, #310 CHICAGO |
State: | IL |
Postal Code: | 606740018 |
Phone Number: | 6304202323 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 03/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 085-002785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |