Provider Demographics
NPI:1639847551
Name:EAVES HEALTH PARTNERS PLLC
Entity Type:Organization
Organization Name:EAVES HEALTH PARTNERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHERISH
Authorized Official - Middle Name:
Authorized Official - Last Name:REINWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-384-7769
Mailing Address - Street 1:PO BOX 588
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:IL
Mailing Address - Zip Code:60002-0588
Mailing Address - Country:US
Mailing Address - Phone:888-384-7769
Mailing Address - Fax:773-717-5529
Practice Address - Street 1:5151 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1123
Practice Address - Country:US
Practice Address - Phone:847-933-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty