Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 036.084918 | IL |
NPI | 1558304733 |
---|---|
Provider Name | Dr. Glenn A. Reinhart |
First Address | Oak Lawn, IL 60453-2600 |
Second Address | Oak Lawn, IL 60453-3054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 01/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0892646 | MEDICAID (01) | OH |
1225084593 | MEDICAL MUTUAL (01) | OH |
1929640 | GATEWAY HEALTH (01) | OH |
2227110 | (05) | OH |
273088817052 | CARESOURCE (01) | OH |
4238799 | AETNA (01) | OH |
563852 | WELCARE (01) | OH |
64034911 | (05) | KY |
676792 | BUCKEYE MEDICARE (01) | OH |
681017 | ANTHEM (01) | OH |
742492 | BUCKEYE MEDICAID (01) | OH |
F56605 | (02) | OH |
JO0729377 | MEDICARE (01) | OH |
K129140 | MEDICARE (01) | KY |
P00875698 | MEDICARE RAILROAD (01) | OH |