Individual
REGINA M IWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46352-0250
(219) 326-1234
Mailing address
75 REMIT DR, LOCKBOX 3309, CHICAGO, IL 60675-3309
(866) 915-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01046998A
IN
207P00000X
Emergency Medicine Physician
E0395
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200163490
—
IN
05
—
200163490A
—
IN
Enumeration date
07/13/2006
Last updated
04/03/2009
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