Active NPI
Cariane M Reese, P.A.
- Medical Physician Assistant
- Geneva, IL
National Provider Identifier
1003930611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085-002785
- Practice address
- 351 Delnor Drive
#310
Geneva, IL 60134 - Phone
- (630) 377-8708
- Fax
- (630) 377-8774
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085-002785 | IL | Primary |
Addresses
Primary practice location
351 Delnor Drive
#310
Geneva, IL 60134
Mailing address
1860 Paysphere Cir
#310
Chicago, IL 60674-0018
Phone (630) 420-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085-002785 | Other | IL | PHYSICIAN ASST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Ear, Nose & Throat Consultants, LTD. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1538262951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1003930611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"address_2": "#310",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018",
"telephone_number": "630-420-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 DELNOR DRIVE",
"address_2": "#310",
"city": "GENEVA",
"state": "IL",
"postal_code": "60134",
"telephone_number": "630-377-8708",
"fax_number": "630-377-8774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "CARIANE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085-002785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASST LICENSE",
"identifier": "085-002785",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.