Dr. Charles Howard Reilly
Podiatrist
3000 N Halsted St Suite 301
Chicago
, Illinois 60657-5188
Dr. Charles Howard Reilly
Podiatrist
3000 N Halsted St Suite 301
Chicago
, Illinois 60657-5188
(773) 296-3440
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Charles Howard Reilly
- 3000 N Halsted St Suite 301
- Chicago, IL
- Zip : 60657-5188
- Fax : (773) 296-3440
- Phone : (773) 296-7160
Second Address
- Dr. Charles Howard Reilly
- 3000 N Halsted St Suite 301
- Chicago, IL
- Zip : 60657-5188
- Fax : (773) 296-3440
- Phone : (773) 296-7160
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016003118 | IL |
| Y | 222Z00000X | Podiatrist | 016003118 | IL |
National Provider Identifier
| NPI | 1073512216 |
|---|---|
| Provider Name | Dr. Charles Howard Reilly |
| First Address | Chicago, IL 60657-5188 |
| Second Address | Chicago, IL 60657-5188 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016003118 | (05) | IL |
| 1623520 | BCBS (01) | IL |
| T37004 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.