MEDICARE: JOHN S RINEHART MD PHD JD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	36072936	IL

General Provider Information

NPI Number	:	1871572867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN S RINEHART MD PHD JD

Provider Business Mailing Address
First Line	:	2500 RIDGE AVE
Second Line	:	#200
City	:	EVANSTON
State	:	IL
Zip	:	60201-2455
Country	:	US
Telephone Number	:	847-869-7777
Fax Number	:	847-869-7782

Provider Business Practice Location Address
First Line	:	2500 RIDGE AVE
Second Line	:	#200
City	:	EVANSTON
State	:	IL
Zip	:	60201-2455
Country	:	US
Telephone Number	:	847-869-7777
Fax Number	:	847-869-7782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/08/2007

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