Individual
DR. BRIAN AUGUST REICHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1281
(618) 641-5803
(618) 607-5116
Mailing address
1116 HARTMAN LN, SHILOH, IL 62221-8014
(618) 641-9011
(618) 641-9017
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036-137965
IL
207RP1001X
Pulmonary Disease Physician
036-137965
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2009
Last updated
01/03/2022
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