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JONATHAN P REID
623 PULASKI ST LINCOLN IL 626562825
JONATHAN P REID is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1871855320. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1759509763. The primary specialty is OPTOMETRY. The organization is CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD. The address is 623 PULASKI ST, , LINCOLN, IL, 626562825. The zip code is 626562825.
|Nation Provider ID||1871855320|
|PAC ID by PECOS||1759509763|
|Professional Enrollment ID||I20140903001925|
|Name||JONATHAN P REID|
|Medical School Name||OTHER|
|All secondary specialties|
|Organization Name||CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD|
|Group Practice PAC ID||7618886318|
|Number of Group Practice members||5|
|Address||623 PULASKI ST, , LINCOLN, IL, 626562825|
|Hospital affiliation LBN|