Reilly, Brian J

Reilly, Brian J is an sole proprietor health care provider with primary practice located at 2402 E Oakland Ave Suite 5, Bloomington IL 61701-5828. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Reilly, Brian J can be contacted via phone (309) 663-5898.

Contact Information

Primary practice address
2402 E Oakland Ave Suite 5 Bloomington IL 61701-5828
Phone: (309) 663-5898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016003992 Illinois
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 016003992 Illinois
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 016003992 Illinois
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016003992 Illinois

Profile Details

NPI number 1821123977
LBN Legal business name Reilly, Brian J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Dec 17th, 2009 - about 15 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 1821123977 NPPES
Illinois Other 60001563 BLUE SHIELD PROVIDER #

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