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Richard Mast Reinhard III, MD

Pediatrics in Chicago, IL. Individual provider (NPI-1).

NPI number1982606497
StatusActive
Last updated in NPPESFeb 26, 2024

Details

NPI
1982606497
Entity type
Individual (NPI-1)
Name
Richard Mast Reinhard III
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2005
Certification date
Feb 26, 2024
Last updated
Feb 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics036.168144ILYes
208000000X PediatricsE-2211AR
208000000X Pediatrics58522TN

Practice location

1276 N Clybourn Ave
Chicago, IL 60610-2089

Phone 312-337-1073 · Fax 312-337-7616

Mailing address

1276 N Clybourn Ave
Chicago, IL 60610-2003

Phone 312-337-1073 · Fax 312-337-7616

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