Individual
STEWART REINGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17800 KEDZIE AVE, ADVOCATE SOUTH SUBURBAN HOSPITAL, HAZEL CREST, IL 60429-2029
(708) 799-8000
Mailing address
341 W MENOMONEE ST, CHICAGO, IL 60614-5341
(312) 925-2400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-064572
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36064572
—
IL
Enumeration date
08/23/2006
Last updated
01/26/2011
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