Provider Demographics
NPI:1063549194
Name:REINGLASS, STEVEN D (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:REINGLASS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:310 S GREENLEAF ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5708
Mailing Address - Country:US
Mailing Address - Phone:847-244-1657
Mailing Address - Fax:847-244-5122
Practice Address - Street 1:310 S GREENLEAF ST STE 209
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5708
Practice Address - Country:US
Practice Address - Phone:847-244-1657
Practice Address - Fax:847-244-5122
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036067575207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036067575Medicaid
D13537Medicare UPIN
IL036067575Medicaid