Duerst, Reggie Edwin

Duerst, Reggie Edwin is an individual health care provider with primary practice located at 2300 N Childrens Plz , Chicago IL 60614-3363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Duerst, Reggie Edwin can be contacted via phone (773) 975-8512.

Contact Information

Primary practice address
2300 N Childrens Plz Chicago IL 60614-3363
Phone: (773) 975-8512
Fax: (773) 880-3223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X Illinois

Profile Details

NPI number 1194778142
LBN Legal business name Duerst, Reggie Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194778142 NPPES
Illinois MEDICAID L95633

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