IndividualActive
Michael Reavy
NPI 1952900409 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Wilmette, IL
Provider details
- NPI number
- 1952900409
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 96550604 (IL)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 96550604 (IL)
Allopathic & Osteopathic Physicians
Practice location
90 Skokie Blvd
Wilmette, IL 60091-3054
Phone: (773) 835-9386
Approximate (ZIP-level) locationGet directions
Mailing address
90 Skokie Blvd
Wilmette, IL 60091-3054
Registry dates
- Enumerated
- 2020-10-25
- Last updated
- 2020-10-25
- Certified
- 2020-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.