Individual
DR. BRENT D REIFSTECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3088
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125049157
IL
Other
Enumeration date
06/09/2007
Last updated
05/12/2014
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