Owen, Reid M

Owen, Reid M is an sole proprietor health care provider with primary practice located at 154 Leonard Wood S Apt 113 , Highland Park IL 60035-5953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Owen, Reid M can be contacted via phone (847) 997-5867.

Contact Information

Primary practice address
154 Leonard Wood S Apt 113 Highland Park IL 60035-5953
Phone: (847) 997-5867
Fax: (847) 681-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036046268 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036046268 Illinois

Profile Details

NPI number 1750374245
LBN Legal business name Owen, Reid M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated May 10th, 2023 - about 3 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 1750374245 NPPES
Illinois Other 21608935 BCBS PROVIDER NUMBER
Illinois MEDICAID 036046268 BCBS PROVIDER NUMBER
Illinois Other 791021783 BCBS PROVIDER NUMBER

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