SearchIllinois390200000X

Justin Reavley

NPI 1295506491 · on the registry since 2024 · sole proprietor

Practice

Address
6 Hairpin Dr
Edwardsville, IL 62026
Phone
(618) 650-5688
Clinicians at this address
18

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2024-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois