Warren, Keith Reynolds

Warren, Keith Reynolds is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60007-3361. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Warren, Keith Reynolds can be contacted via phone (630) 690-4993.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60007-3361
Phone: (630) 690-4993
Fax: (630) 690-2293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42-0010962 Vermont
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036125979 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 13059 New Hampshire
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036125979 Illinois

Profile Details

NPI number 1164493854
LBN Legal business name Warren, Keith Reynolds
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 15th, 2015 - about 11 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 1164493854 NPPES
Illinois Other F400188615 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 206147 MEDICARE PTAN (INDIVIDUAL)
Illinois MEDICAID 036125979 MEDICARE PTAN (INDIVIDUAL)

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