Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL REAVY
Active Sole ProprietorMICHAEL REAVY is a Sports Medicine (PM&R) healthcare provider located in WILMETTE, Illinois. NPI 1952900409 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · WILMETTE, IL
Registration Details
- NPI Number
- 1952900409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2020 (5.8431573549014 yrs)
- Last Updated
- Oct 25, 2020
- License
-
96550604 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 SKOKIE BLVDWILMETTE, IL, 600913054Browse IL providers · Browse ZIP 60091
- Phone
- 7738359386
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.