| Doctor Name: | DR. HELENA A REID |
| NPI Number: | 1104822691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 016-004885 |
| Business Practice Address: | 840 35th Avenue Pl Suite 102 Moline, IL - 612658026 |
| Business Phone Number: | 3097625200 |
| Business Fax Number: | 3097625636 |
| Mailing Address: | 840 35th Avenue Pl, Suite 102 MOLINE |
| State: | IL |
| Postal Code: | 612658026 |
| Phone Number: | 3097625200 |
| Fax Number: | 3097625636 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 06/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 016-004885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |