Individual
GARY M REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 CROSSROADS PL, SUITE 110, MOUNT VERNON, IL 62864-6254
(618) 244-6710
(618) 244-6779
Mailing address
209 CROSSROADS PL 150, MOUNT VERNON, IL 62864-6546
(618) 244-6710
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-064567
IL
Other
Enumeration date
05/16/2006
Last updated
07/16/2015
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