Individual provider · Type 1 NPI

Colleen Reynolds, PA-C

Physician Assistant · Evanston, IL

NPI number 1679125702 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Call (847) 570-2639 Map

Fax (847) 733-5618

Mailing address

2650 Ridge Ave # 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679125702

Colleen Reynolds, PA-C's National Provider Identifier is 1679125702, issued on Jul 9, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on Jan 26, 2026.