Poustinchian, Brian Reza

Poustinchian, Brian Reza is an individual health care provider with primary practice located at 300 Randall Rd , Geneva IL 60134-4200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Poustinchian, Brian Reza can be contacted via phone (630) 208-3000.

Contact Information

Primary practice address
300 Randall Rd Geneva IL 60134-4200
Phone: (630) 208-3000
Fax: (630) 762-7882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036131483 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125058545 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036.131483 Illinois

Profile Details

NPI number 1649591371
LBN Legal business name Poustinchian, Brian Reza
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2010
Last updated Mar 17th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649591371 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other P01248045 MEDICARE PTAN (GROUP)
Illinois Other 206147241 MEDICARE PTAN (GROUP)
Illinois Other CA4748 MEDICARE PTAN (GROUP)
Illinois MEDICAID 036131483 MEDICARE PTAN (GROUP)

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