Individual
PAUL D. REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN-CNP
Contact information
Practice address
24600 W 127TH ST STE B325, PLAINFIELD, IL 60585-9527
(815) 731-9100
Mailing address
409 MCHUGH RD, YORKVILLE, IL 60560-1217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041431700
IL
363L00000X
Nurse Practitioner
Primary
209016381
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209016381
IL
Other
Enumeration date
08/25/2017
Last updated
05/06/2026
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