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
Phone: (847) 550-9930
Fax: (847) 961-6520
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356378376 | NPPES |
Illinois | MEDICAID | 036100776 | |
Illinois | Other | 04932191 |
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