Reilly, Wing Sue Maria

Reilly, Wing Sue Maria is an individual health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Reilly, Wing Sue Maria can be contacted via phone (260) 426-5431.

Contact Information

Primary practice address
2121 Lake Ave Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016-003648 Illinois

Profile Details

NPI number 1770682163
LBN Legal business name Reilly, Wing Sue Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 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.

Request for update

Popular Providers