Individual
MR. WILLIAM R REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 HAMACHER ST STE 204, WATERLOO, IL 62298-1592
(618) 939-4200
(618) 939-4256
Mailing address
P.O. BOX 78399, SAINT LOUIS, MO 63178-8399
(618) 939-4200
(618) 939-4256
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
036-065044
IL
207RI0011X
Interventional Cardiology Physician
036065044
IL
207RI0011X
Interventional Cardiology Physician
Primary
R2F41
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202480307
—
MO
Enumeration date
08/09/2006
Last updated
01/31/2023
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