Healthcare Provider Details

I. General information

NPI: 1114392370
Provider Name (Legal Business Name): COURTNEY REAMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE # 16
CHICAGO IL
60611-2991
US

IV. Provider business mailing address

225 E CHICAGO AVE # 16
CHICAGO IL
60611-2991
US

V. Phone/Fax

Practice location:
  • Phone: 312-227-6720
  • Fax: 312-227-9418
Mailing address:
  • Phone: 312-227-6720
  • Fax: 312-227-9418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036158690
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036158690
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: