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MICHAEL REILLY M.D. HOLISTIC & FAMILY PRACTICE MEDICINE LTD NPI 1598871923


NPI Information

NPI: 1598871923
Provider Name: MICHAEL REILLY M.D. HOLISTIC & FAMILY PRACTICE MEDICINE LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
912 NORTHWEST HWY
SUITE 104
FOX RIVER GROVE, IL
ZIP 60021
Phone: (847) 516-4400
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MICHAEL REILLY M.D. HOLISTIC & FAMILY PRACTICE MEDICINE LTD is a family medicine in Fox River Grove, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MICHAEL REILLY M.D. HOLISTIC & FAMILY PRACTICE MEDICINE LTD NPI is 1598871923. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

912 NORTHWEST HWY
SUITE 104
FOX RIVER GROVE, IL
ZIP 60021-925
Phone: (847) 516-4400
Fax: (847) 516-4404

The provider's authorized official is Michael F Reilly .
The authorized official title is President and has the following contact phone number (847) 516-4400.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 5/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036100776ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036100776MEDICAIDILLINOIS
2205667MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
304932191OTHERILLINOISBLUE SHIELD BLUE CROSS
4H14202MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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