Organization
RICHARD P REINHERZ DPM & MARY G KWIECINSKI DPM PTR FAMILY FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P REINHERZ DPM (PARTNER)
(847) 816-3156
Entity
Organization
Contact information
Practice address
1641 N MILWAUKEE AVE, SUITE 14, LIBERTYVILLE, IL 60048-1350
(847) 816-3156
(847) 816-9724
Mailing address
1641 N MILWAUKEE AVE, SUITE 14, LIBERTYVILLE, IL 60048-1350
(847) 816-3156
(847) 816-9724
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001582
BLUE CROSS BLUE SHIELD
IL
01
—
DG4210
MEDICARE RAILROAD
IL
Enumeration date
08/08/2006
Last updated
09/02/2011
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