Individual
KIM MICHAEL REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016-003257
IL
213ES0131X
Foot Surgery Podiatrist
Primary
016003257
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102179
HEALTHLINK
IL
01
—
4134729
AETNA
IL
01
—
480026528
RAILROAD MEDICARE PTAN
IL
01
—
601-15944
BC/BS
IL
01
—
STL2750010
UHC
—
Enumeration date
03/08/2006
Last updated
04/24/2012
Update your record
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