Individual
MARGARET CULLEN-REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9501 171ST ST, SUITE C, TINLEY PARK, IL 60487-6110
(708) 403-8300
(708) 403-8333
Mailing address
9501 171ST ST, SUITE C, TINLEY PARK, IL 60487-6110
(708) 403-8300
(708) 403-8333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046008012
IL
152WC0802X
Corneal and Contact Management Optometrist
Primary
046008012
IL
152WV0400X
Vision Therapy Optometrist
046008012
IL
Other
Enumeration date
11/29/2005
Last updated
11/14/2011
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