Active NPI
Jose Guadalupe Reyes Jr., RN
- Registered Nurse
- Berwyn, IL
National Provider Identifier
1598315541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041295566
- Practice address
- 2418 Elmwood Ave
Berwyn, IL 60402-2624 - Phone
- (708) 238-4478
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041295566 | IL | Primary |
Addresses
Primary practice location
2418 Elmwood Ave
Berwyn, IL 60402-2624
Mailing address
2418 Elmwood Ave
Berwyn, IL 60402-2624
Phone (708) 238-4478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041295566 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1598315541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 ELMWOOD AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022624",
"telephone_number": "708-238-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 ELMWOOD AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022624",
"telephone_number": "708-238-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JOSE",
"middle_name": "GUADALUPE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041295566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.