Ladonna Reynolds

Individual provider Active NPI Case Manager/Care Coordinator · Chicago Heights, IL

NPI 1972087476 · NPPES record last updated Sep 20, 2018

Key facts

NPI
1972087476
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
450 W 14TH St
Chicago Heights, IL 60411-2463
Phone
(708) 985-3040
Fax
(708) 474-8144
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

450 W 14TH St
Chicago Heights, IL 60411-2463

Mailing address

17746 Oak Park Ave
Tinley Park, IL 60477-3936
Phone (708) 444-1012

Other providers in Chicago Heights, IL

All providers in Chicago Heights, IL · Case Manager/Care Coordinator in Illinois

Sources for this page

Verify at the official NPI Registry.