Regan, Kevin W

Regan, Kevin W is an individual health care provider with primary practice located at 430 Warrenville Rd 210, Lisle IL 60532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Regan, Kevin W can be contacted via phone (630) 432-6180.

Contact Information

Primary practice address
430 Warrenville Rd 210 Lisle IL 60532
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036075676 Illinois

Profile Details

NPI number 1205823275
LBN Legal business name Regan, Kevin W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 18th, 2023 - about last year

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 1205823275 NPPES
Illinois MEDICAID 036075676

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