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NPI Code Detail

MEDICARE: DR. CHRISTOPHER D REYES M.D.

MEDICARE: DR. CHRISTOPHER D REYES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036100192IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4110225333OTHERILMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10027340094OTHERILBCBS PHYS PROVIDER #
2051108OTHERILHEALTH ALLIANCE ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
57320380OTHERILBCBS FMC GROUP PROVIDER #
62086975OTHERILUNITED HEALTHCARE ID
7420618OTHERILHEALTHLINK PROVIDER ID

General Provider Information

NPI Number : 1407828940
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER D REYES M.D.
Provider Business Mailing Address
First Line : 5383 STATE ROUTE 154
Second Line :
City : PINCKNEYVILLE
State : IL
Zip : 62274-3342
Country : US
Telephone Number : 618-357-2131
Fax Number : 618-357-3411
Provider Business Practice Location Address
First Line : 5383 STATE ROUTE 154
Second Line :
City : PINCKNEYVILLE
State : IL
Zip : 62274-3342
Country : US
Telephone Number : 618-357-2131
Fax Number : 618-357-3411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 07/11/2023

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