Reilly, Michael

Reilly, Michael is an individual health care provider with primary practice located at 912 Northwest Hwy Suite 104, Fox River Grove IL 60021-1925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reilly, Michael can be contacted via phone (847) 550-9930.

Contact Information

Primary practice address
912 Northwest Hwy Suite 104 Fox River Grove IL 60021-1925
Fax: (847) 961-6520
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036100776 Illinois

Profile Details

NPI number 1356378376
LBN Legal business name Reilly, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 21st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356378376 NPPES
Illinois MEDICAID 036100776
Illinois Other 04932191

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