DR. SALLY LOUISE REYNOLDS (NPI# 1417916362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417916362 |
| Entity Type | Individual |
| Full Name | DR. SALLY LOUISE REYNOLDS |
| Credential | MD |
| Practice Address |
Department of Emergency Medicine 225 East Chicago Avenue Chicago IL 60611 |
| Practice Telephone | 8005437362 |
| Practice Fax Number | 3122279475 |
| Mailing Telephone | 8005437362 |
| Mailing Fax Number | 3122279475 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
036071339 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036071339 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750486353 | Sally Ann Reynolds | Social Worker | 520 Valley St, Statesville, NC 28677-7935 | 2006-09-14 |
| 1851530265 | Sally Reynolds | Registered Nurse | 2000 Commerce Dr, West Melbourne, FL 32904-2335 | 2009-02-09 |
| Street Address |
DEPARTMENT OF EMERGENCY MEDICINE 225 EAST CHICAGO AVENUE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255725164 | Princy Pathalil George | Pediatrics | 5730 S. Drexel Avenue, Mc 8029, Chicago, IL 60637 | 2015-03-28 |
| 1427391515 | Sriram Ramgopal | Pediatrics | 255 E Chicago Ave, Chicago, IL 60611-2605 | 2013-03-27 |
| 1720138779 | Alison S Tothy | Pediatrics | 5841 South Maryland Ave. 0810, Dept. of Pediatrics; Section of Pediatric Emergency Med, Chicago, IL 60637-1407 | 2007-01-11 |
| 1205890613 | Susan Miriam Fuchs | Pediatrics | 225 E Chicago Ave # 62, Chicago, IL 60611 | 2006-04-13 |
| 1508307752 | Destiny Deshawn Wilson | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2017-03-20 |
| 1407240914 | Amy Z. Zhou | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2015-03-23 |
| 1164860557 | Anisha Kshetrapal | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2013-06-07 |
| 1396011540 | Wee-jhong Chua | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2012-03-31 |
| 1558656108 | Leah Ruth Finkel | Pediatrics | 1740 W Taylor St, Chicago, IL 60612-7232 | 2011-06-12 |
| 1962677211 | Dana Doreen Aronson Schinasi | Pediatrics | 225 E Chicago Ave, Box 62, Chicago, IL 60611-2991 | 2008-04-28 |
| Find all providers in CHICAGO | ||||
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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.