Healthcare Provider Details

I. General information

NPI: 1649690827
Provider Name (Legal Business Name): REETI GREENWALD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REETI RAYCHAUDHURI MD

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N WINFIELD RD STE 204
WINFIELD IL
60190-1379
US

IV. Provider business mailing address

25 N WINFIELD RD STE 204
WINFIELD IL
60190-1379
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-0202
  • Fax: 630-690-2293
Mailing address:
  • Phone: 630-232-0202
  • Fax: 630-690-2293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number036146744
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: