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Individual

DR. GLENN A. REINHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(708) 684-4261
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4261

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
036.084918
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0892646
MEDICAID
OH
01
1225084593
MEDICAL MUTUAL
OH
01
1929640
GATEWAY HEALTH
OH
05
2227110
OH
01
273088817052
CARESOURCE
OH
01
4238799
AETNA
OH
01
563852
WELCARE
OH
05
64034911
KY
01
676792
BUCKEYE MEDICARE
OH
01
681017
ANTHEM
OH
01
742492
BUCKEYE MEDICAID
OH
01
JO0729377
MEDICARE
OH
01
K129140
MEDICARE
KY
01
P00875698
MEDICARE RAILROAD
OH
Enumeration date
06/14/2006
Last updated
04/20/2022
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