Organization Active NPI

Richard P Reinherz DPM & Mary G Kwiecinski DPM PTR Family Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Libertyville, IL
National Provider Identifier
1023028859
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RICHARD P REINHERZ DPM & MARY G KWIECINSKI DPM PTR FAMILY FOOT CARE
Practice address
1641 N Milwaukee Ave
Suite 14
Libertyville, IL 60048-1350
Phone
(847) 816-3156
Fax
(847) 816-9724
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Dr. Richard P Reinherz, DPM
Title
Partner
Phone
(847) 816-3156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1641 N Milwaukee Ave
Suite 14
Libertyville, IL 60048-1350

Mailing address

1641 N Milwaukee Ave
Suite 14
Libertyville, IL 60048-1350
Phone (847) 816-3156

Other identifiers 2

IdentifierTypeStateIssuer
60001582OtherILBLUE CROSS BLUE SHIELD
DG4210OtherILMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

1641 N Milwaukee Ave
Ste 14
Libertyville, IL 60048
Phone (847) 816-3156

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1023028859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 N MILWAUKEE AVE",
            "address_2": "SUITE 14",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481350",
            "telephone_number": "847-816-3156",
            "fax_number": "847-816-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 N MILWAUKEE AVE",
            "address_2": "SUITE 14",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481350",
            "telephone_number": "847-816-3156",
            "fax_number": "847-816-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P REINHERZ DPM & MARY G KWIECINSKI DPM PTR FAMILY FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "REINHERZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-816-3156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60001582",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG4210",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.