Provider Demographics
NPI:1245227271
Name:CREGIER, CATHLEEN M (APN)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:M
Last Name:CREGIER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120 SPALDING DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6508
Mailing Address - Country:US
Mailing Address - Phone:630-527-7780
Mailing Address - Fax:630-527-7777
Practice Address - Street 1:120 SPALDING DR
Practice Address - Street 2:SUITE 310
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6508
Practice Address - Country:US
Practice Address - Phone:630-527-7780
Practice Address - Fax:630-527-7777
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
S03133Medicare UPIN