Mary Reiner, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

085000337 Issued in IL

Practice address

572 S Bartlett Rd
Streamwood, IL 60107-1362

Phone

(847) 691-1440

Fax

(810) 222-2262

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• James Caruso Medical Inc

  • General Practice Physician
  • Streamwood, IL
  • NPI 1093013716
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1013266873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FERNWOOD DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600109682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 S BARTLETT RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071362",
            "telephone_number": "847-691-1440",
            "fax_number": "810-222-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINER",
        "first_name": "MARY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085000337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Ignacio Raygoza, MPH
• Rci (WRS), LLC
• Ready Set Grow Pediatric Therapy, Inc.
• Real Talk Therapy Solutions LLC
• Kirsten Refvik, LCSW
• Resilience Warriors LLC
• Anna Reyes
• Giusto Romano, D.D.S.
• Rosin Optical Co. Inc.
• Rush-Select Holdings, LLC.

• All providers in Streamwood, IL
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.