Elizabeth R Reyna
Nurse Practitioner (Adult Health)

Address: 5841 S Maryland Ave # Mc7120, Chicago, IL 60637-1443
Phone: 8725882076

Elizabeth R Reyna (NPI# 1942796123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942796123
Entity Type Individual
Full Name Elizabeth R Reyna
Credential APRN
Gender Female
Practice Address 5841 S Maryland Ave # Mc7120
Chicago
IL 60637-1443
Practice Telephone 8725882076
Mailing Address 5841 S Maryland Ave # Mc7120
Chicago
IL 60637-1443
Mailing Telephone 7737026140
Mailing Fax Number 7737022126
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2018-07-10
Last Update Date 2020-09-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers 209.017829 IL

Secondary Practice Locations

Address Telephone Number Fax Number
14290 S Lagrange, Orland Park, IL 60462 7737026140

Physician Overview

NPI 1942796123
PAC ID by PECOS 6204187735
Professional Enrollment ID I20180924000621
Full Name Elizabeth R Reyna
Organization Legal Name THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Phone Number 7737021000
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7618880766
Number of Group Practice Members 635
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140088 THE UNIVERSITY OF CHICAGO MEDICAL CENTER

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724200 Tatyana Menaker Nurse Practitioner 2958 West Devon Ave, Chicago, IL 60659 2020-06-12
1366926347 Kimberly Snell Blanchard Nurse Practitioner 600 S Paulina St Ste 130, Chicago, IL 60612-3806 2018-09-17
1518475615 Kyla Lynn Musser Nurse Practitioner 2525 S Michigan Ave Ste 12, Chicago, IL 60616-2315 2018-01-11
1942717418 Madiha Khan Nurse Practitioner 3000 N Halsted St Ste 623, Chicago, IL 60657 2018-01-05
1952828980 Paulina Petrishka Nurse Practitioner 1115 N Crosby St # C, Chicago, IL 60610-2405 2017-08-30
1831639384 Ivory Rhymes Nurse Practitioner 8750 W Bryn Mawr Ave, Chicago, IL 60631-3655 2017-03-02
1265971204 Venus Liezl Basnillo- San Diego Nurse Practitioner 1628 N Bell Ave, Apt 1, Chicago, IL 60647-5289 2017-02-22
1093253718 Daniel Robert Mead Nurse Practitioner 1540 W Chicago Ave, Chicago, IL 60642-5236 2017-02-01
1992249585 Karen Panganiban Nurse Practitioner 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 2016-12-15
1043769268 Michelle Moore Nurse Practitioner 458 N May St, Chicago, IL 60642-5819 2016-09-29
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Office Location

Street Address 5841 S MARYLAND AVE # MC7120
City CHICAGO
State IL
Zip Code 60637-1443

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386263234 Pooja Ramnani Pharmacist 5841 S Maryland Ace, Chicago, IL 60637 2020-04-10
1780220079 Tara Coleman Non-emergency Medical Transport (VAN) 808 E. 63rd Street, Suite 135, Chicago, IL 60637 2019-11-21
1366003501 Valerie Silas Case Management 6330 S King Drive, Chicago, IL 60637 2019-06-27
1205391620 Derek Joseph Fiedler Anesthesiology University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 2019-02-11
1821573072 Ugochinyere Ohaja Registered Nurse 5656 South Maryland Avenue, Chicago, IL 60637 2018-10-03
1053899138 Won Hee Oh Physician Assistant 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 2018-08-01
1558854695 Rasidat Adeduntan Internal Medicine 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 2018-06-13
1194235283 Melissa Ann Arangoa Registered Nurse 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 2017-10-03
1558880633 Marni Harris Optometrist 5841 S Maryland Ave # S421, Chicago, IL 60637 2017-09-11
1992235105 Vidya Mahavadi Pediatrics 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 2017-06-20
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Competitor

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City CHICAGO
Zip Code 60637

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.