Individual
DR. KEITH REYNOLDS WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60007-3361
(630) 690-4993
(630) 690-2293
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60007-3361
(630) 690-4993
(630) 690-2293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42-0010962
VT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036125979
IL
2084P0800X
Psychiatry Physician
036125979
IL
2084P0800X
Psychiatry Physician
13059
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125979
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400188615
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
01/30/2006
Last updated
04/15/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us