Reynolds, Sally Louise

Reynolds, Sally Louise is an individual health care provider with primary practice located at Department Of Emergency Medicine 225 East Chicago Avenue, Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Reynolds, Sally Louise can be contacted via phone (800) 543-7362.

Contact Information

Primary practice address
Department Of Emergency Medicine 225 East Chicago Avenue Chicago IL 60611
Phone: (800) 543-7362
Fax: (312) 227-9475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 036071339 Illinois

Profile Details

NPI number 1417916362
LBN Legal business name Reynolds, Sally Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated May 22nd, 2020 - about 6 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 1417916362 NPPES
Illinois MEDICAID 036071339

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