Individual
DR. JAMES REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6497
Mailing address
2160 S 1ST AVE, ROOM 7609, MAYWOOD, IL 60153-3328
(708) 216-8757
(708) 216-1259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125063658
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/21/2013
Last updated
09/19/2013
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