Sandra Irene Reynertson, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Practice address

5TH Avenue and Roosevelt Rd
Medicine Neurology Service Line (111)
Hines, IL 60141

Phone

(708) 202-4163

Fax

(708) 202-1095

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144314162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5TH AVENUE AND ROOSEVELT RD",
            "address_2": "MEDICINE NEUROLOGY SERVICE LINE (111)",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-4163",
            "fax_number": "708-202-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH AVENUE AND ROOSEVELT RD",
            "address_2": "MEDICINE NEUROLOGY SERVICE LINE (111)",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-4163",
            "fax_number": "708-202-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNERTSON",
        "first_name": "SANDRA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Resa
• Catherine Reyes
• Frandizon John Reyes
• Frodine Reyes
• Lorena Reyes, RD
• Aaron Rice Jr., CADC
• Clair Malcolm Rice III, M.D.
• Kathleen Marie Richard, PH.D.
• Mary Lynn Richardson, RN
• Lauren Ashley Richkus, LSW

• Cardiovascular Disease Physician in Hines, IL
• Providers in Hines, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.