Dr REGINALD A EBIRIM MD is a male medical professional, specializing in Family Medicine. He graduated in 2002 from Illinois Medical College.
521 KORA LN
ISLAND LAKE
IL
600429101
Tel:
| Npi | 1396702957 |
| Pac Id | 6406889690 |
| Professional Enrollment Id | I20050917000240 |
| Last Name | EBIRIM |
| First Name | REGINALD |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | ILLINOIS MEDICAL COLLEGE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | EMERGENCY MEDICINE |
| Secondary Specialty 2 | INTERNAL MEDICINE |
| Secondary Specialty 3 | OBSTETRICS/GYNECOLOGY |
| Secondary Specialty 4 | |
| All Secondary Specialties | EMERGENCY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 521 KORA LN |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ISLAND LAKE |
| State | IL |
| Zip Code | 600429101 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 140239 |
| Hospital Affiliation Lbn 1 | ROCKFORD MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 140291 |
| Hospital Affiliation Lbn 2 | ADVOCATE GOOD SHEPHERD HOSPITAL |
| Hospital Affiliation Ccn 3 | 140116 |
| Hospital Affiliation Lbn 3 | CENTEGRA HOSPITAL-MCHENRY |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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