Individual
JOHN L. REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1259 RICKERT DR, SUITE 101, NAPERVILLE, IL 60540-8902
(630) 355-1300
(630) 355-3273
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036070447
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036070447
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036070447
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070447
—
IL
01
—
200013545
RAILROAD MEDICARE
IL
Enumeration date
09/27/2005
Last updated
08/18/2023
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