MEDICARE: DR. STERLING SCOTT REESE 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
1	207R00000X	Internal Medicine Physician	036145469	IL
2	207RI0011X	Interventional Cardiology Physician	036145469	IL
3	207RC0000X	Cardiovascular Disease Physician	036145469	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036145469	OTHER	IL	IL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952307886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STERLING SCOTT REESE M.D.

Provider Business Mailing Address
First Line	:	725 SCHOOL ST STE A
Second Line	:
City	:	MORRIS
State	:	IL
Zip	:	60450-1207
Country	:	US
Telephone Number	:	815-941-9124
Fax Number	:	815-941-4363

Provider Business Practice Location Address
First Line	:	101 E MILLER RD
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081
Country	:	US
Telephone Number	:	815-625-4790
Fax Number	:

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	05/14/2024

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