Organization
MACOMB INTERNAL MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W REEM MD (MD/PRESIDENT)
(309) 837-9926
Entity
Organization
Contact information
Practice address
515 E GRANT ST, STE 111, MACOMB, IL 61455-3315
(309) 837-9926
(309) 833-1417
Mailing address
515 E GRANT ST, STE 111, MACOMB, IL 61455-3315
(309) 837-9926
(309) 833-1417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05532012
BCBS OF ILLINOIS
IL
Enumeration date
12/06/2005
Last updated
01/30/2008
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