Christopoulos, Regan Alene
Christopoulos, Regan Alene is an individual health care provider with primary practice located at Deerpath Physicians Group 731 S Illinois Route 21, Gurnee IL 60031-3813. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Christopoulos, Regan Alene can be contacted via phone (847) 566-3337.Contact Information
Primary practice address
Deerpath Physicians Group 731 S Illinois Route 21
Gurnee IL 60031-3813
Phone: (847) 566-3337
Fax: (847) 816-3166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-107767 | Illinois |
Profile Details
| NPI number | 1740231596 |
|---|---|
| LBN Legal business name | Christopoulos, Regan Alene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 16th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740231596 | NPPES |
| Illinois | Other | 04930281 | BLUE CROSS BLUE SHIELD |
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