Reagan, Mary (Katie) Kathleen

Reagan, Mary (Katie) Kathleen is an individual health care provider with primary practice located at 4212 W Irving Park Rd , Chicago IL 60641-2935. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Reagan, Mary (Katie) Kathleen can be contacted via phone (773) 774-4444.

Contact Information

Primary practice address
4212 W Irving Park Rd Chicago IL 60641-2935
Phone: (773) 774-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.014636 Illinois

Profile Details

NPI number 1649814195
LBN Legal business name Reagan, Mary (Katie) Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2019
Last updated Aug 22nd, 2022 - about 3 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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