MEDICARE: DR. WILLIAM RUTHERFORD REED MD

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
1	207R00000X	Internal Medicine Physician	43566020	WI
2	207R00000X	Internal Medicine Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L13768	OTHER	IL	PIN

General Provider Information

NPI Number	:	1538231212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM RUTHERFORD REED MD

Provider Business Mailing Address
First Line	:	400 E OHIO ST APT 1003
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4605
Country	:	US
Telephone Number	:	312-587-8582
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E OHIO ST APT 1003
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4605
Country	:	US
Telephone Number	:	312-587-8582
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	03/07/2023

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