| Mark S. Reiter, M.d., S.c. | |
|
4400 W 95th St Suite 405 Oak Lawn IL 60453-2654 | |
| (708) 499-2323 | |
| (708) 499-2324 |
| Full Name | Mark S. Reiter, M.d., S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4400 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Mark Steven Reiter (OWNER/PRESIDENT) |
| Authorized Official Contact | 7084992323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S. Reiter, M.d., S.c. 4400 W 95th St Suite 405 Oak Lawn IL 60453-2654 Ph: (708) 499-2323 | Mark S. Reiter, M.d., S.c. 4400 W 95th St Suite 405 Oak Lawn IL 60453-2654 Ph: (708) 499-2323 |
| NPI Number | 1013226703 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 2365635976 |
|---|---|
| Medicare Enrollment ID | O20101014001242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013226703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mark S Reiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902864408 PECOS PAC ID: 5991997298 Enrollment ID: I20101005000737 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
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