Individual
AMY R REETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
101 N 16TH ST, HERRIN, IL 62948-1750
(618) 988-6034
Mailing address
101 N 16TH ST, HERRIN, IL 62948-1750
(618) 988-6034
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016005593
LICENSE
IL
Enumeration date
07/04/2011
Last updated
10/09/2015
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