Stefanie Elizabeth Reid in Bolingbrook - Pediatrics
Stefanie Elizabeth Reid - NPI 1962579292
Stefanie Elizabeth Reid is a Pediatrics in Bolingbrook, Illinois. Stefanie Elizabeth Reid practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stefanie Elizabeth Reid is 1962579292. The last update date is 2019-10-08.
Stefanie Elizabeth Reid's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 6302962222. The mailing address for Stefanie Elizabeth Reid is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefanie Elizabeth Reid |
|---|---|
| Address | 790 Remington Blvd, Bolingbrook, Illinois |
| Phone Number | 6302962222 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1962579292 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2019-10-08 |
Provider Mailing Address Detail
| Address | 790 Remington Blvd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604404909 |
| Phone Number | 6302962222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 5735-024 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40307000 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stefanie Elizabeth Reid by the Centers for Medicare & Medicaid Services (CMS)?
The Stefanie Elizabeth Reid has been assigned the NPI (National Provider Identifier) 1962579292. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Stefanie Elizabeth Reid is geographically located?
The Stefanie Elizabeth Reid is physically situated at the following location: 790 Remington Blvd, Bolingbrook, IL, 604404909.
What is Stefanie Elizabeth Reid's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stefanie Elizabeth Reid's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2251P0200X.
On what date did Stefanie Elizabeth Reid receive its 1962579292 assignment from the Centers for Medicare & Medicaid Services?
The Stefanie Elizabeth Reid was assigned its 1962579292 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Stefanie Elizabeth Reid last refreshed?
The information related to the Stefanie Elizabeth Reid, including its address, specialty, and other relevant details, was last updated on 2019-10-08.