# KEVIN J. REGAN, D.C,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467620716
- **Authorized official:** DR. KEVIN J. REGAN D.C. (CHIROPRACTOR)
- **Authorized official phone:** (312) 876-1600

## Contact information

- **Practice address:** 118 N CLINTON ST, CHICAGO, IL 60661-2386
- **Practice address phone:** (312) 876-1600
- **Practice address fax:** (312) 876-1616
- **Mailing address:** 118 N CLINTON ST, CHICAGO, IL 60661-2386
- **Mailing address phone:** (312) 876-1600
- **Mailing address fax:** (312) 876-1616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038005108 | IL | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 01/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1682322 | BCBS | IL |
| 01 | — | 3887091 | CIGNA | IL |
| 01 | — | 4580171 | AETNA | IL |