Provider Demographics
NPI:1720187685
Name:REIFF, WILLIAM M (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:M
Last Name:REIFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1435 N RANDALL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-2306
Mailing Address - Country:US
Mailing Address - Phone:847-841-8866
Mailing Address - Fax:847-841-8986
Practice Address - Street 1:1435 N RANDALL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-2306
Practice Address - Country:US
Practice Address - Phone:847-841-8866
Practice Address - Fax:847-841-8986
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2011-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036052088207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036052088Medicaid
C39023Medicare UPIN
IL0635900001Medicare NSC
IL247620Medicare PIN