Owen, Reid M
Owen, Reid M is an sole proprietor health care provider with primary practice located at 154 Leonard Wood S Apt 113 , Highland Park IL 60035-5953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Owen, Reid M can be contacted via phone (847) 997-5867.Contact Information
Primary practice address
154 Leonard Wood S Apt 113
Highland Park IL 60035-5953
Phone: (847) 997-5867
Fax: (847) 681-1366
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036046268 | Illinois |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036046268 | Illinois |
Profile Details
NPI number | 1750374245 |
---|---|
LBN Legal business name | Owen, Reid M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2005 |
Last updated | May 10th, 2023 - about last year |
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 | 1750374245 | NPPES |
Illinois | Other | 21608935 | BCBS PROVIDER NUMBER |
Illinois | MEDICAID | 036046268 | BCBS PROVIDER NUMBER |
Illinois | Other | 791021783 | BCBS PROVIDER NUMBER |
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