De Regnier, Raye Ann O

De Regnier, Raye Ann O is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. De Regnier, Raye Ann O can be contacted via phone (800) 543-7362.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2991
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036104730 Illinois

Profile Details

NPI number 1578516985
LBN Legal business name De Regnier, Raye Ann O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578516985 NPPES
Illinois MEDICAID 036104730

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