Delacruz, Jennifer Anne Regan

Delacruz, Jennifer Anne Regan is an sole proprietor health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Delacruz, Jennifer Anne Regan can be contacted via phone (630) 933-7400.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Phone: (630) 933-7400
Fax: (630) 933-4168
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125056188 Illinois
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036132162 Illinois

Profile Details

NPI number 1164740254
LBN Legal business name Delacruz, Jennifer Anne Regan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2010
Last updated Sep 17th, 2015 - about 9 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 1164740254 NPPES
Illinois Other 036132162 MEDICAID
Illinois Other 206147 MEDICAID
Illinois Other F400230237 MEDICAID

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