person
Brian J Reilly, DPM
Foot Surgery Podiatrist in Bloomington, Illinois
NPI 1821123977

Brian J Reilly is a Foot Surgery Podiatrist based in Bloomington, IL and is specialized in Foot Surgery. Brian J Reilly practices in Bloomington, IL and has the professional credentials of DPM. The NPI Number for Brian J Reilly is 1821123977 and holds a License No. 016003992 (Illinois).

The current practice location address for Brian J Reilly is 2402 E Oakland Ave, Bloomington, IL and can be reached out via phone at 309-663-5898.

Location: 2402 E Oakland Ave, Bloomington, IL, 61701-5828
person
Provider Profile Details
NPI Number
1821123977
Provider Name
Brian J Reilly
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2402 E Oakland Ave, Bloomington, IL, 61701-5828
Phone Number
309-663-5898
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60001563 01 IL BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
2402 E Oakland Ave
City
State
Zip
61701-5828
Phone Number
309-663-5898
Fax Number
person
Provider Business Mailing Address Details
Address
2402 E Oakland Ave
City
State
Zip
61701-5828
Phone Number
309-663-5898
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
016003992 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
License No.
016003992 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
016003992 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
016003992 (Illinois)
Definition
Definition to come...
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