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Contact Information

MICHAEL REAVY
90 SKOKIE BLVD
WILMETTE, IL60091-3054
 Phone: 773-835-9386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MICHAEL REAVY · (Male)

NPI # 1952900409
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2020
Last updated 10/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 96550604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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