Olivia Reyes

Dentist · Park City, IL

Individual Active NPI

NPI number 1396359980

Practice location

355 Greenleaf St Ste E
Park City, IL 60085-5708
Phone
(847) 249-5700

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NPI record

NPI
1396359980
Entity type
Individual (Type 1)
Enumeration date
September 1, 2020
Last updated
December 9, 2025
Certified
December 9, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.036517 IL

Mailing address

445 E Illinois St Unit 4603
Chicago, IL 60611-5370
Phone
(707) 330-5651

About Olivia Reyes

Olivia Reyes is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 355 Greenleaf St Ste E, Park City, IL 60085-5708. The NPI number 1396359980 was assigned on September 1, 2020 and the record was last updated on December 9, 2025.

Olivia Reyes lists a license in the registry: #019.036517 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Olivia Reyes?

The NPI number is 1396359980.

What is the phone number of Olivia Reyes?

The phone number listed for the practice location is (847) 249-5700.

Where is Olivia Reyes located?

355 Greenleaf St Ste E, Park City, IL 60085-5708.

What is the taxonomy code for Olivia Reyes?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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