Regan, John Edward
Regan, John Edward is an individual health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Regan, John Edward can be contacted via phone (708) 923-5869.Contact Information
Primary practice address
12251 S 80Th Ave
Palos Heights IL 60463-1256
Phone: (708) 923-5869
Fax: (708) 923-5859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036148457 | Illinois |
Profile Details
| NPI number | 1104274968 |
|---|---|
| LBN Legal business name | Regan, John Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2016 |
| Last updated | Jul 2nd, 2019 - about 7 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 | 1104274968 | NPPES |
| Illinois | MEDICAID | 036148457 |
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