NPI 1336375617

Jessica Lil Porter Reedman

Practitioner Case Manager/Care Coordinator Dekalb, IL

Practice location

Address: 430 S 7th St, Dekalb, IL 60115-3837
Phone: (815) 501-9832

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 2250103 (IL)

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Registry record

NPI: 1336375617
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2009
Record last updated: 1 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.