Brian J Reilly in Bloomington - Primary Podiatric Medicine
Brian J Reilly - NPI 1821123977
Brian J Reilly is a Primary Podiatric Medicine in Bloomington, Illinois. Brian J Reilly practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Brian J Reilly is 1821123977. The last update date is 2009-12-17.
Brian J Reilly's current location address is 2402 E Oakland Ave, Bloomington, Illinois. You can contact this provider via phone number 3096635898. The mailing address for Brian J Reilly is 2402 E Oakland Ave, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Reilly |
|---|---|
| Address | 2402 E Oakland Ave, Bloomington, Illinois |
| Phone Number | 3096635898 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1821123977 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2009-12-17 |
Provider Mailing Address Detail
| Address | 2402 E Oakland Ave |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617015828 |
| Phone Number | 3096635898 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 16003992 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60001563 | IL | BLUE SHIELD PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brian J Reilly by the Centers for Medicare & Medicaid Services?
The Brian J Reilly has been issued the NPI (National Provider Identifier) 1821123977 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brian J Reilly's facilities are geographically located?
The facilities of Brian J Reilly are physically situated at the following location: 2402 E Oakland Ave, Bloomington, IL, 617015828.
What is the Brian J Reilly's area of specialization and corresponding taxonomy classification?
The Brian J Reilly's specialty field is Primary Podiatric Medicine, and it falls under the taxonomy code 213Ep1101X, which categorizes healthcare providers based on their specialties.
On what date did the Brian J Reilly receive the assignment of its 1821123977 from the Centers for Medicare & Medicaid Services?
The Brian J Reilly was issued its 1821123977 by the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the details related to Brian J Reilly most recently updated or revised?
The information pertaining to Brian J Reilly, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-17.