Individual provider · NPI-1

Lorena Reyes, DNP, CPNP-PC

Nurse Practitioner, Pediatrics · Berwyn, IL

NPI number1316229503
StatusActive
Last updated in NPPESMay 30, 2025

Details

NPI
1316229503
Entity type
Individual (NPI-1)
Name
Lorena Reyes
Credential
DNP, CPNP-PC
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 13, 2011
Certification date
May 30, 2025
Last updated
May 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics209-028758ILYes

Practice location

6545 Cermak Rd
Berwyn, IL 60402-2313

Phone 708-788-0077

Mailing address

6545 Cermak Rd
Berwyn, IL 60402-2313

Phone 708-788-0077

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