Provider Demographics
NPI:1336124668
Name:REEM, DAVID W (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:REEM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:515 E GRANT ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MACOMB
Mailing Address - State:IL
Mailing Address - Zip Code:61455-3315
Mailing Address - Country:US
Mailing Address - Phone:309-837-9926
Mailing Address - Fax:309-833-1417
Practice Address - Street 1:515 E GRANT ST
Practice Address - Street 2:SUITE 111
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-3315
Practice Address - Country:US
Practice Address - Phone:309-837-9926
Practice Address - Fax:309-833-1417
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2015-02-16
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Provider Licenses
StateLicense IDTaxonomies
IL036-049838207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL05532012OtherBCBS OF IL
IL0360498351Medicaid
IL0360498351Medicaid
IL208158Medicare PIN