DR. MERRELL DEE REISS MD NPI 1063460681

NPI Information

NPI: 1063460681
Provider Name: DR. MERRELL DEE REISS, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
800 BIESTERFIELD RD
SUITE 2009
ELK GROVE, IL
ZIP 60007
Phone: (847) 952-9140
Get Directions

DR. Merrell Dee Reiss, MD is a neurology psychiatry neurology in Elk Grove, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Merrell Dee Reiss, MD NPI is 1063460681. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 BIESTERFIELD RD
SUITE 2009
ELK GROVE, IL
ZIP 60007
Phone: (847) 952-9140
Fax: (847) 952-9145

The enumeration date for this NPI number is 5/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C44909	MEDICARE UPIN
2	569560	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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