Reynolds, Sally Louise
Reynolds, Sally Louise is an individual health care provider with primary practice located at Department Of Emergency Medicine 225 East Chicago Avenue, Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Reynolds, Sally Louise can be contacted via phone (800) 543-7362.Contact Information
Primary practice address
Department Of Emergency Medicine 225 East Chicago Avenue
Chicago IL 60611
Phone: (800) 543-7362
Fax: (312) 227-9475
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 036071339 | Illinois |
Profile Details
NPI number | 1417916362 |
---|---|
LBN Legal business name | Reynolds, Sally Louise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | May 22nd, 2020 - about 5 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 | 1417916362 | NPPES |
Illinois | MEDICAID | 036071339 |
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