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Individual
SCOTT A REISHUS
Active
Individual
SCOTT A REISHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036089311
IL
2086S0129X
Vascular Surgery Physician
Primary
036089311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205524
MEDICARE
—
01
—
36089311
BCBS
IL
05
—
36089311
—
IL
Enumeration date
01/18/2006
Last updated
06/25/2024
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