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Individual

DR. REGGIE M AUGUSTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-134251
IL
208100000X
Physical Medicine & Rehabilitation Physician
OS9721
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036134251
IL
01
0451514334
BCBS
IL
05
278233200
FL
01
93198
BC/BS
Enumeration date
10/06/2006
Last updated
11/18/2021
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