Individual
DR. COLLEEN ANN KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
636 RAYMOND DR STE 200, NAPERVILLE, IL 60563-9791
(630) 315-6500
(630) 315-6519
Mailing address
636 RAYMOND DR STE 200, NAPERVILLE, IL 60563-9791
(630) 315-6500
(630) 315-6519
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-076923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036076923
MEDICAID
IL
Enumeration date
12/04/2007
Last updated
06/25/2025
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