Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN J REILLY, D.P.M.
Active Sole ProprietorBRIAN J REILLY, D.P.M. is a Radiology Podiatrist healthcare provider located in BLOOMINGTON, Illinois. NPI 1821123977 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1821123977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2007 (19.496195275714 yrs)
- Last Updated
- Dec 17, 2009
- Licenses
-
016003992 (IL)016003992 (IL)016003992 (IL)016003992 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2402 E OAKLAND AVESUITE 5BLOOMINGTON, IL, 617015828Browse IL providers · Browse ZIP 61701
- Phone
- 3096635898
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Sports Medicine Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.