Healthcare Provider Details

I. General information

NPI: 1871572867
Provider Name (Legal Business Name): JOHN S RINEHART MD PHD JD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 RIDGE AVE #200
EVANSTON IL
60201-2455
US

IV. Provider business mailing address

2500 RIDGE AVE #200
EVANSTON IL
60201-2455
US

V. Phone/Fax

Practice location:
  • Phone: 847-869-7777
  • Fax: 847-869-7782
Mailing address:
  • Phone: 847-869-7777
  • Fax: 847-869-7782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number36072936
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: