Individual
DR. PAUL E REITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 N ROCKTON AVE, MAIN CLINIC - ENDO DEPT., ROCKFORD, IL 61103-3619
(815) 971-2000
Mailing address
2300 N ROCKTON AVE, MAIN CLINIC - ENDO DEPT., ROCKFORD, IL 61103-3619
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036047595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036047595
IL STATE LICENSE
IL
05
—
036047595
—
IL
Enumeration date
10/21/2005
Last updated
01/10/2014
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