Andrea E Reale Reyes

NPI #1023585130 in Chicago, Illinois

Provider Information

NPI Number: 1023585130
Entity Type: Individual
Name: Andrea E Reale Reyes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 26, 2018
Last Updated: Apr 7, 2022

Practice Location

Address: 801 S PAULINA ST
City: Chicago
State: Illinois
ZIP Code: 60612-7210
Phone: (312) 996-9158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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