Kevin Patrick Reider, DC
Chiropractor in Chicago, IL. Individual provider (NPI-1).
NPI number1114616802
StatusActive
Last updated in NPPESMay 8, 2023
Details
- NPI
- 1114616802
- Entity type
- Individual (NPI-1)
- Name
- Kevin Patrick Reider
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 8, 2023
- Certification date
- May 8, 2023
- Last updated
- May 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038.013988 | IL | Yes |
Practice location
6178 N Northwest HwyChicago, IL 60631-2126
Phone 773-570-6404
Mailing address
6178 N Northwest HwyChicago, IL 60631-2126
Phone 773-570-6404
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