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Individual
BRIAN JAY REACH
Active
Individual
BRIAN JAY REACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-099587
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-099587
—
IL
01
—
036099587
IDPA FEE FOR SERVICE
IL
01
—
052910
HEALTH ALLIANCE
IL
01
—
411176
HEALTHLINK
IL
01
—
H04942
BLUE CROSS BLUE SHIELD
IL
01
—
K01261
WPS
IL
Enumeration date
07/11/2005
Last updated
11/10/2021
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