Provider Demographics
NPI:1205940897
Name:REICH, PATRICIA A (RN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:REICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2841 N MULLIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-5018
Mailing Address - Country:US
Mailing Address - Phone:773-836-8163
Mailing Address - Fax:
Practice Address - Street 1:8145 RIVER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2660
Practice Address - Country:US
Practice Address - Phone:847-966-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health