MICHAEL REAVY (NPI# 1952900409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952900409 |
| Entity Type | Individual |
| Full Name | MICHAEL REAVY |
| Practice Address |
90 Skokie Blvd Wilmette IL 60091-3054 |
| Practice Telephone | 7738359386 |
| Mailing Telephone | 7738359386 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
96550604 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
90 SKOKIE BLVD |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947586 | Kaitlyn Maloney | Physical Medicine & Rehabilitation | 125 Jan Ln Apt 2, De Soto, IL 62924-0045 | 2019-05-16 |
| 1134688294 | Ashraf Ali Elkossei | Physical Medicine & Rehabilitation | 9215 S Tripp Ave, Oak Lawn, IL 60453-1938 | 2019-03-18 |
| 1457854119 | Arielle Willett | Physical Medicine & Rehabilitation | 505 Washington Blvd, Oak Park, IL 60302-4005 | 2018-03-08 |
| 1205228475 | Elizabeth Palagi | Physical Medicine & Rehabilitation | 16825 Shannon Ct, Tinley Park, IL 60477-6551 | 2015-02-25 |
| 1780003178 | Paula Weihler Sc | Physical Medicine & Rehabilitation | 129 Commercial Dr, Unit 5b, Yorkville, IL 60560-4729 | 2014-04-14 |
| 1598920977 | Prescriptive Wellness LLC | Physical Medicine & Rehabilitation | 3330 W 177th St Ste 3f, Hazel Crest, IL 60429-2197 | 2008-07-24 |
| 1639356488 | Ukpenahiusi S Ighodaro | Physical Medicine & Rehabilitation | 231 W Main St Ste 101, Carpentersville, IL 60110-1772 | 2008-01-23 |
| 1619057338 | Charles Lawrence Carlton | Physical Medicine & Rehabilitation | 6007 N Sheridan Rd Apt 20a, Chicago, IL 60660-3005 | 2006-10-17 |
| 1932142973 | Philip H Dennis | Physical Medicine & Rehabilitation | 441 S State Route 157 Ste 102, Edwardsville, IL 62025-4017 | 2006-06-14 |
| 1780622746 | Terry L Nicola | Physical Medicine & Rehabilitation | 839 W Roosevelt Rd, Suite #102, Chicago, IL 60608-1530 | 2006-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.