Derrick Reuben
Derrick Reuben is a Point of Service in Matteson, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4108 Applewood LnMatteson, IL 60443-1903
Phone: (708) 699-5078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X |
|---|
Record details
| NPI number | 1629733563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 4, 2021 |
| Last updated in NPPES | November 4, 2021 |
| Certification date | November 4, 2021 |
| Mailing address | 4108 Applewood Ln, Matteson, IL 60443-1903 |
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