Reid M Owen, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036046268 Issued in IL

Practice address

154 Leonard Wood S Apt 113
Highland Park, IL 60035-5953

Phone

(847) 997-5867

Fax

(847) 681-1366

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Onsite Health Therapies, LLC

  • Physical Therapist
  • Lincolnwood, IL
  • NPI 1790373454
  NPD
• City of Hope Medical Group of Illinois PLLC

  • Specialist
  • Zion, IL
  • NPI 1548258072
  NPD (past)
• Marion Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Marion, IL
  • NPI 1679870513
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1750374245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 LEONARD WOOD S APT 113",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355953",
            "telephone_number": "847-997-5867",
            "fax_number": "847-681-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 LEONARD WOOD S APT 113",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355953",
            "telephone_number": "847-997-5867",
            "fax_number": "847-681-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "REID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036046268",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036046268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "21608935",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046268",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "791021783",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele L. Ontiveros, PT, MBA
• Gali R Oren-Amit, M.D.
• Michael A Ori, DDS
• Orthopedic Center of Lake County PC
• Outlier Physical Therapy, LLC
• Carlton Christoher Owens, LMT
• Milton Leslie Paige X, M.D.
• Isabella J. Pak, APN-CNP
• Park Avenue Associates in Internal Medicine, LTD
• Park Avenue Private Practice LLC

• General Practice Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.