Reynolds, Albert Lee

Reynolds, Albert Lee is an individual health care provider with primary practice located at 901 Mc Clintock Drive Suite 202, Burr Ridge IL 60527-0844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reynolds, Albert Lee can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
901 Mc Clintock Drive Suite 202 Burr Ridge IL 60527-0844
Phone: (888) 220-6432
Fax: (630) 654-4253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036065172 Illinois

Profile Details

NPI number 1639155534
LBN Legal business name Reynolds, Albert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Apr 18th, 2013 - about 11 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 1639155534 NPPES
Illinois MEDICAID 036065172

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