Leo A Reyes, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036045343 Issued in IL

Practice address

1664 S. Eastwood Drive
Woodstock, IL 60098-4655

Phone

(815) 338-5940

Fax

(815) 338-5940

NPI assigned

Jun 20, 2005

Last updated

Feb 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leo a. Reyes, M.D.,P.C.

  • General Practice Physician
  • Woodstock, IL
  • NPI 1083919419
  Authorized official Same address or phone
• Midwest Lakes Medical Center, SC

  • Internal Medicine Physician
  • Crystal Lake, IL
  • NPI 1417121500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1811992316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 S. EASTWOOD DRIVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600984655",
            "telephone_number": "815-338-5940",
            "fax_number": "815-206-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S. EASTWOOD DRIVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600984655",
            "telephone_number": "815-338-5940",
            "fax_number": "815-338-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "LEO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036045343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-045343",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose A Reichhart, RPH
• Rein Chiropractic PC (Back on Track Chiropractic)
• Michael R. Rein, D.C.
• Corinne Renner, OTR/L, CLT
• Luserito Renteria
• George Luis Ribarchik, OD
• Stacia Riffe, MS,RD,LDN
• Elizabeth Rios, APN
• Jennifer Rispens, PHARM.D.
• Soutsada T Rivera I, DPT

• Family Medicine Physician in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.