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General NPI Number Information
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NPI Number | 1114100393
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Entity Type | Organization
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Legal Business Name | MICHAEL J. REINSTEIN M.D PC
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 4755 NORTH KENMORE AVE.
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City | CHICAGO
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State | IL
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Zip | 60640-5015
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Country | US
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Telephone | 773-989-9868
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Fax | 773-989-9824
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Provider Business Mailing Address
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Address Line | 8928 KILPATRICK AVE
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City | SKOKIE
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State | IL
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Zip | 60076-1828
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Country | US
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Telephone | 773-989-9868
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Fax | 773-989-9824
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Authorized Official
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Title or Position | SENIOR PARTNER
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Name | DR. MICHAEL J. REINSTEIN
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Credential | M.D.
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Telephone | 773-989-9868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036041796
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License Number State | IL
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