Augusthy, Reggie M
Augusthy, Reggie M is an individual health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Augusthy, Reggie M can be contacted via phone (630) 859-8700.Contact Information
Primary practice address
1221 N Highland Ave
Aurora IL 60506-1404
Phone: (630) 859-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OS9721 | Florida |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036-134251 | Illinois |
Profile Details
| NPI number | 1760579361 |
|---|---|
| LBN Legal business name | Augusthy, Reggie M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Nov 18th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760579361 | NPPES |
| Illinois | MEDICAID | 036134251 | |
| Illinois | Other | 93198 | |
| Illinois | MEDICAID | 278233200 | |
| Illinois | Other | 0451514334 |
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