Active NPI
Richard P Reinherz DPM & Mary G Kwiecinski DPM PTR Family Foot Care
- Foot & Ankle Surgery Podiatrist
- Libertyville, IL
National Provider Identifier
1023028859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60001582 | Other | IL | BLUE CROSS BLUE SHIELD |
| DG4210 | Other | IL | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Vernon Hills, IL
- NPI 1366547234
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.