Reilly, Eileen Therese

Reilly, Eileen Therese is an individual health care provider with primary practice located at 620 W Brown St , Waupun WI 53963-1702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Reilly, Eileen Therese can be contacted via phone (920) 324-5581.

Contact Information

Primary practice address
620 W Brown St Waupun WI 53963-1702
Phone: (920) 324-5581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 71981-20 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 71981-20 Wisconsin

Profile Details

NPI number 1700865573
LBN Legal business name Reilly, Eileen Therese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 20th, 2023 - about 2 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 1700865573 NPPES
Wisconsin MEDICAID 1700865573

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