Individual
JOHN PATRICK REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 NORTH WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-1600
Mailing address
25 NORTH WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-1600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.140679
IL
207R00000X
Internal Medicine Physician
57.023013
OH
208M00000X
Hospitalist Physician
Primary
036140679
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036140679
MEDICAID
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400299280
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
04/08/2013
Last updated
03/17/2018
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