Marleta Reynolds in Chicago - Pediatric Surgery
Marleta Reynolds - NPI 1336135904
Marleta Reynolds is a Pediatric Surgery in Chicago, Illinois. Marleta Reynolds practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Marleta Reynolds is 1336135904. The last update date is 2019-05-10.
Marleta Reynolds's current location address is 225 E Chicago Ave, Chicago, Illinois. You can contact this provider via phone number 8005437362. The mailing address for Marleta Reynolds is 225 E Chicago Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marleta Reynolds |
|---|---|
| Address | 225 E Chicago Ave, Chicago, Illinois |
| Phone Number | 8005437362 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336135904 |
|---|---|
| Provider Enumeration Date | 2005-09-20 |
| Last Updated Date | 2019-05-10 |
Provider Mailing Address Detail
| Address | 225 E Chicago Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60611 |
| Phone Number | 8005437362 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 36062051 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36062051 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marleta Reynolds by the Centers for Medicare & Medicaid Services?
The Marleta Reynolds has been issued the NPI (National Provider Identifier) 1336135904 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Marleta Reynolds's physical address?
The Marleta Reynolds is physically located at 225 E Chicago Ave, in the city of Chicago, IL, with the postal code 60611.
What is Marleta Reynolds's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marleta Reynolds is Pediatric Surgery, and the taxonomy code that classifies this field of practice is 2086S0120X.
On what date was the 1336135904 assigned to Marleta Reynolds?
The Marleta Reynolds was issued its 1336135904 on 2005-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Marleta Reynolds most recently updated or refreshed?
The details pertaining to the Marleta Reynolds, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-05-10.
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