Mrs. Asia Reynolds
Dental Hygienist
1502 E 63rd St
Chicago
, Illinois 60637-2921
Mrs. Asia Reynolds
Dental Hygienist
1502 E 63rd St
Chicago
, Illinois 60637-2921
(225) 279-1040
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mrs. Asia Reynolds
- 8056 S Kingston Ave Apt. 1e
- Chicago, IL
- Zip : 60617-1293
- Phone : (225) 279-1040
Second Address
- Mrs. Asia Reynolds
- 1502 E 63rd St
- Chicago, IL
- Zip : 60637-2921
- Phone : (773) 496-5138
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020012291 | IL |
National Provider Identifier
| NPI | 1053783571 |
|---|---|
| Provider Name | Mrs. Asia Reynolds |
| First Address | Chicago, IL 60617-1293 |
| Second Address | Chicago, IL 60637-2921 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2015 |
| Last Update Date | 23/10/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.