Provider Demographics
NPI:1194332601
Name:REUHS, ERICH ANTHONY (MS-CCC/SLP)
Entity type:Individual
Prefix:
First Name:ERICH
Middle Name:ANTHONY
Last Name:REUHS
Suffix:
Gender:M
Credentials:MS-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 W EASTWOOD AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2908
Mailing Address - Country:US
Mailing Address - Phone:847-624-0720
Mailing Address - Fax:
Practice Address - Street 1:1415 W FOSTER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2288
Practice Address - Country:US
Practice Address - Phone:847-624-0720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009653235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist