Individual
COURTNEY REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16660 LIBERTY CIR, 3S, ORLAND PARK, IL 60467-5712
(708) 374-0903
Mailing address
16660 LIBERTY CIR, 3S, ORLAND PARK, IL 60467-5712
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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