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NPI Code Detail

MEDICARE: DR. SCOTT REICH

MEDICARE:  DR. SCOTT  REICH
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
1111N00000XChiropractorIL

General Provider Information

NPI Number : 1700897675
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT REICH
Provider Business Mailing Address
First Line : PO BOX 14177
Second Line :
City : CHICAGO
State : IL
Zip : 60614-0177
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1901 N HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5008
Country : US
Telephone Number : 312-255-1590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SCOTT REICH ” Practice Location

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