Provider Demographics
NPI:1548594153
Name:REICHERT, INC
Entity type:Organization
Organization Name:REICHERT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:T
Authorized Official - Last Name:REICHERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-532-4405
Mailing Address - Street 1:106 BEAVER ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1703
Mailing Address - Country:US
Mailing Address - Phone:800-681-8198
Mailing Address - Fax:800-598-1967
Practice Address - Street 1:106 BEAVER ST
Practice Address - Street 2:SUITE B
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1703
Practice Address - Country:US
Practice Address - Phone:800-681-8198
Practice Address - Fax:800-598-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203001280332B00000X
NV129784332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL6547140001Medicare NSC