Keegan, Colleen Ann
Keegan, Colleen Ann is an individual health care provider with primary practice located at 636 Raymond Dr Ste 200 , Naperville IL 60563-9791. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Keegan, Colleen Ann can be contacted via phone (630) 315-6500.Contact Information
Primary practice address
636 Raymond Dr Ste 200
Naperville IL 60563-9791
Phone: (630) 315-6500
Fax: (630) 778-6088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036-076923 | Illinois |
Profile Details
| NPI number | 1497937106 |
|---|---|
| LBN Legal business name | Keegan, Colleen Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Apr 1st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497937106 | NPPES |
| Illinois | Other | 036076923 | MEDICAID |
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