Individual
DR. ERIC VINCENT REINERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2401 BROADWAY ST, PEKIN, IL 61554-3905
(309) 478-1700
(309) 478-1701
Mailing address
2401 BROADWAY ST, PEKIN, IL 61554-3905
(309) 478-1700
(309) 478-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-097075
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097075
—
IL
01
—
9032006
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/09/2006
Last updated
07/16/2008
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