Individual
ANNA LINN REINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2900 FOXFIELD RD, SUITE 101, ST CHARLES, IL 60174-5799
(630) 513-8275
(630) 513-9208
Mailing address
2900 FOXFIELD RD, SUITE 101, ST CHARLES, IL 60174-5799
(630) 513-8275
(630) 513-9208
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2006022432
MO
363A00000X
Physician Assistant
Primary
085002341
IL
363AM0700X
Medical Physician Assistant
085002341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
920540013
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/30/2006
Last updated
05/16/2013
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