Individual
PRESTON S REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 546-2618
Mailing address
PO BOX 8602, ROBINSON, IL 62454-8602
(630) 881-1064
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036074445
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074445
—
IL
Enumeration date
06/15/2005
Last updated
09/01/2020
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