# MARK S. REITER, M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013226703
- **Authorized official:** DR. MARK STEVEN REITER M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (708) 499-2323

## Contact information

- **Practice address:** 4400 W 95TH ST, SUITE 405, OAK LAWN, IL 60453-2654
- **Practice address phone:** (708) 499-2323
- **Practice address fax:** (708) 499-2324
- **Mailing address:** 4400 W 95TH ST, SUITE 405, OAK LAWN, IL 60453-2654
- **Mailing address phone:** (708) 499-2323
- **Mailing address fax:** (708) 499-2324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 09/29/2010
