Active NPI
Isaac Reiser, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1811987019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036036054
- Practice address
- 3960 N Harlem Ave
Chicago, IL 60634-2219 - Phone
- (773) 625-7809
- Fax
- (773) 625-7449
- NPI assigned
- Oct 27, 2005
- Reactivated
- Jan 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036036054 | IL | Primary |
Addresses
Primary practice location
3960 N Harlem Ave
Chicago, IL 60634-2219
Mailing address
940 Augusta Way
#107
Highland Park, IL 60035
Phone (847) 432-3883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036036054 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1811987019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 AUGUSTA WAY",
"address_2": "#107",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-432-3883",
"fax_number": "847-432-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342219",
"telephone_number": "773-625-7809",
"fax_number": "773-625-7449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISER",
"first_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2013-01-22",
"deactivation_date": "2010-10-20",
"reactivation_date": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036036054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.