Duerst, Reggie Edwin
Duerst, Reggie Edwin is an individual health care provider with primary practice located at 2300 N Childrens Plz , Chicago IL 60614-3363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Duerst, Reggie Edwin can be contacted via phone (773) 975-8512.Contact Information
Primary practice address
2300 N Childrens Plz
Chicago IL 60614-3363
Phone: (773) 975-8512
Fax: (773) 880-3223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | Illinois |
Profile Details
| NPI number | 1194778142 |
|---|---|
| LBN Legal business name | Duerst, Reggie Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194778142 | NPPES |
| Illinois | MEDICAID | L95633 |
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