Individual
KELLY REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14489 JOHN HUMPHREY DR STE 202, ORLAND PARK, IL 60462-2692
(630) 607-0387
Mailing address
14489 JOHN HUMPHREY DR STE 202, ORLAND PARK, IL 60462-2692
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.032360
IL
Other
Enumeration date
06/24/2025
Last updated
06/25/2025
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