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Individual

REGAN LANE KENDREGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
400 N WALL ST, STE 510, KANKAKEE, IL 60901-2940
(815) 932-5725
(915) 932-5872
Mailing address
400 N WALL ST, STE 510, KANKAKEE, IL 60901-2940
(815) 932-5725
(915) 932-5872

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001523
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036067325
IL
Enumeration date
01/30/2007
Last updated
11/12/2025
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