Thomas Reinken

NPI #1861875759 in Peoria, Illinois

Provider Information

NPI Number: 1861875759
Entity Type: Individual
Name: Thomas Reinken
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 9, 2015
Last Updated: Jul 9, 2015

Practice Location

Address: 221 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61636-0001
Phone: (309) 991-1091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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