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HERNAN REYES MD SC NPI 1124211503


NPI Information

NPI: 1124211503
Provider Name: HERNAN REYES MD SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5610 W CERMAK RD
UNIT #2
CICERO, IL
ZIP 60804
Phone: (708) 656-9247
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HERNAN REYES MD SC is a family medicine in Cicero, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HERNAN REYES MD SC NPI is 1124211503. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5610 W CERMAK RD
UNIT #2
CICERO, IL
ZIP 60804-219
Phone: (708) 656-9247
Fax: (708) 656-9358

The provider's authorized official is Hernan Reyes .
The authorized official title is Director and has the following contact phone number (708) 656-9247.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 4/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036117857ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101638280OTHERILLINOISBLUE CROSS BLUE SHIELD
2215712MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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