Organization
MICHAEL J. REICHERTS, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J REICHERTS MD (PRESIDENT)
(630) 420-4275
Entity
Organization
Contact information
Practice address
4043 SOUTH STATE ROUTE 59, NAPERVILLE, IL 60564
(630) 420-4275
(630) 420-8957
Mailing address
4043 SOUTH ROUTE 59, NAPERVILLE, IL 60564
(630) 420-4275
(630) 420-8957
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932144
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/23/2007
Last updated
10/13/2020
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