Individual
DR. JOHN EDWARD REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-5869
(708) 923-5859
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5173
(708) 923-5018
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036148457
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036148457
—
IL
Enumeration date
06/01/2016
Last updated
07/02/2019
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