Provider Demographics
NPI:1023307147
Name:REUTER, CAROLINE HEININGER
Entity type:Individual
Prefix:MISS
First Name:CAROLINE
Middle Name:HEININGER
Last Name:REUTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3828 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-4834
Mailing Address - Country:US
Mailing Address - Phone:571-228-9105
Mailing Address - Fax:
Practice Address - Street 1:2300 N CHILDRENS PLZ # 18
Practice Address - Street 2:CHILDREN'S MEMORIAL HOSPITAL MEDICAL EDUCATION
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-4302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program