Dr. Reggie Edwin Duerst
Pediatric Hematology-Oncologist
2300 N Childrens Plz
Chicago
, Illinois 60614-3363
Dr. Reggie Edwin Duerst
Pediatric Hematology-Oncologist
2300 N Childrens Plz
Chicago
, Illinois 60614-3363
(847) 724-5415
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Reggie Edwin Duerst
- 1509 Basswood Cir
- Glenview, IL
- Zip : 60025-2006
- Phone : (847) 724-5415
Second Address
- Dr. Reggie Edwin Duerst
- 2300 N Childrens Plz
- Chicago, IL
- Zip : 60614-3363
- Fax : (773) 880-3223
- Phone : (773) 975-8512
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | IL |
National Provider Identifier
| NPI | 1194778142 |
|---|---|
| Provider Name | Dr. Reggie Edwin Duerst |
| First Address | Glenview, IL 60025-2006 |
| Second Address | Chicago, IL 60614-3363 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E44529 | (02) | IL |
| L95633 | (05) | 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.