NPI 1740532589

Reginald Anderson, MESMEDICALEXERC

Practitioner Clinical Exercise Physiologist Libertyville, IL

Practice location

Address: 328 Peterson Rd, Libertyville, IL 60048-1008
Phone: (847) 549-1705

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X Licence V6RA26-12 (IL)

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Registry record

NPI: 1740532589
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2012
Record last updated: 3 Oct 2012

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.