Healthcare Provider Details

I. General information

NPI: 1134155807
Provider Name (Legal Business Name): HOWARD JOEL REINGLASS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 NORTH WESTERN AVE
CHICAGO IL
60645
US

IV. Provider business mailing address

7080 NORTH WESTERN AVE
CHICAGO IL
60645
US

V. Phone/Fax

Practice location:
  • Phone: 773-743-6700
  • Fax: 773-761-9226
Mailing address:
  • Phone: 773-465-7777
  • Fax: 773-761-9226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: