Individual
RONALD W RIEGELHAUPT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 GLENVIEW RD, SUITE 115, GLENVIEW, IL 60025-2956
(847) 729-4710
(847) 729-4746
Mailing address
1775 GLENVIEW RD, SUITE 115, GLENVIEW, IL 60025-2956
(847) 729-4710
(847) 729-4746
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016003156
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003156
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016-3156
—
IL
01
—
480000990
RR MEDICARE INDIVIDUAL PTAN
IL
01
—
DD3445
RAILROAD GROUP #
IL
Enumeration date
05/14/2007
Last updated
06/30/2014
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