Jessica Lil Porter Reedman
Case Manager/Care Coordinator in Dekalb, IL. Individual provider (NPI-1).
NPI number1336375617
StatusActive
Last updated in NPPESJun 1, 2009
Details
- NPI
- 1336375617
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lil Porter Reedman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2009
- Last updated
- Jun 1, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 2250103 | IL | Yes |
Practice location
430 S 7th StDekalb, IL 60115-3837
Phone 815-501-9832
Mailing address
430 S 7th StDekalb, IL 60115-3837
Phone 815-501-9832
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