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Individual
MR. JOHN REIMBOLD
Active
Individual
MR. JOHN REIMBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000156
IL
231H00000X
Audiologist
—
—
237700000X
Hearing Instrument Specialist
IDPH0394
IL
332B00000X
Durable Medical Equipment & Medical Supplies
IDPH0394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029298
HEALTH ALLIANCE
IL
01
—
3970321
BCBS
IL
Enumeration date
08/11/2006
Last updated
10/06/2022
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