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
Fax: (630) 778-6088
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497937106 NPPES
Illinois Other 036076923 MEDICAID

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