Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 036137762 | IL |
NPI | 1013229095 |
---|---|
Provider Name | Nicole Dorothy Reams |
First Address | Glenview, IL 60026-1339 |
Second Address | Glenview, IL 60026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 11/03/2021 |