Healthcare Provider Details

I. General information

NPI: 1679407266
Provider Name (Legal Business Name): STEVEN J REIMAN DACM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 REVERE DR STE 505
NORTHBROOK IL
60062-1577
US

IV. Provider business mailing address

60 REVERE DR STE 505
NORTHBROOK IL
60062-1577
US

V. Phone/Fax

Practice location:
  • Phone: 847-846-8752
  • Fax:
Mailing address:
  • Phone: 847-846-8752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number198.011980
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: