Active NPI
De'Chauna Reed, DPT
- Physical Therapist
- Bannockburn, IL
National Provider Identifier
1922481068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023485
- Practice address
- 2211 Waukegan Rd
Bannockburn, IL 60015-1570 - Phone
- (847) 267-8600
- Fax
- (847) 267-9520
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070023485 | IL | Primary |
| Physical Therapist | 225100000X | 2305209526 | VA |
Addresses
Primary practice location
2211 Waukegan Rd
Bannockburn, IL 60015-1570
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other names 1
- De'Chauna Skinner
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305209526 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1922481068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 WAUKEGAN RD",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151570",
"telephone_number": "847-267-8600",
"fax_number": "847-267-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "DE'CHAUNA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023485",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DE'CHAUNA",
"last_name": "SKINNER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bannockburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.