Provider Demographics
NPI:1336163864
Name:REYES, BERNADINE ULPINDO (DC)
Entity type:Individual
Prefix:DR
First Name:BERNADINE
Middle Name:ULPINDO
Last Name:REYES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4539 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2116
Mailing Address - Country:US
Mailing Address - Phone:773-878-2660
Mailing Address - Fax:773-878-2860
Practice Address - Street 1:4539 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2116
Practice Address - Country:US
Practice Address - Phone:773-878-2660
Practice Address - Fax:773-878-2860
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL88712Medicare ID - Type Unspecified
ILU87386Medicare UPIN