Organization Name: | RICHARD P REINHERZ DPM & MARY G KWIECINSKI DPM PTR FAMILY FOOT CARE |
NPI Number: | 1023028859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD P REINHERZ (PARTNER) |
Mailing Address: | 1641 N Milwaukee Ave Suite 14 Libertyville |
State: | IL US |
Postal Code: | 600481350 |
Phone Number: | 8478163156 |
Fax Number: | 8478169724 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 09/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |