Provider Demographics
NPI:1558842849
Name:REYES TUNG INC
Entity Type:Organization
Organization Name:REYES TUNG INC
Other - Org Name:REYES AND ASSOCIATES EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-732-1438
Mailing Address - Street 1:3154 EVERGLADE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-3315
Mailing Address - Country:US
Mailing Address - Phone:630-732-1438
Mailing Address - Fax:
Practice Address - Street 1:28201 DIEHL RD
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3934
Practice Address - Country:US
Practice Address - Phone:630-836-8830
Practice Address - Fax:630-836-8832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service