DR. SALLY LOUISE REYNOLDS MD
NPI 1417916362
Pediatrics - Pediatric Emergency Medicine in Chicago, IL

Q: What is Sally Reynolds's NPI number?

The NPI number for Sally Reynolds is 1417916362. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Sally Reynolds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Sally Reynolds was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2006PECOS Enrolled

DEPARTMENT OF EMERGENCY MEDICINE, 225 EAST CHICAGO AVENUE, CHICAGO, IL 60611(800) 543-7362(312) 227-9475 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2020, Oct 3, 2019 (2 updates tracked since 2019).

On this page

About Dr. Sally Louise Reynolds Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SALLY LOUISE REYNOLDS MD (NPI 1417916362) is an individual pediatric emergency medicine provider in Chicago, Illinois, licensed in Illinois (036071339) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417916362

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. SALLY LOUISE REYNOLDSCredential: MD

Location AddressDEPARTMENT OF EMERGENCY MEDICINE, 225 EAST CHICAGO AVENUEChicago, IL 60611

Mailing AddressDepartment Of Emergency Medicine, 225 East Chicago AvenueChicago, IL 60611 · (800) 543-7362 · Fax (312) 227-9475

Phone(800) 543-7362

Fax(312) 227-9475

Sole ProprietorNo

Enumeration DateMarch 20, 2006

Last NPPES UpdateMay 22, 20202 updates tracked since enumeration

NPPES CertifiedMay 22, 2020

✔ NPI 1417916362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in IL · 036071339

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

DEPARTMENT OF EMERGENCY MEDICINE, Chicago, IL 60611

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Other Identifiers 1

Medicaid036071339IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sally Louise Reynolds Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Reynolds's NPI number?

The NPI number for Sally Reynolds is 1417916362. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Sally Reynolds located?

Sally Reynolds practices at Department Of Emergency Medicine 225 East Chicago Avenue, Chicago, IL 60611. The listed phone number is (800) 543-7362.

What is Sally Reynolds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Sally Reynolds enrolled in Medicare?

Yes. Sally Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Reynolds was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.