Provider Demographics
NPI:1467554675
Name:REGAN, KAREN MARIE (RRT-NPS,CPFT,RCP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARIE
Last Name:REGAN
Suffix:
Gender:F
Credentials:RRT-NPS,CPFT,RCP
Other - Prefix:
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Mailing Address - Street 1:17230 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-6117
Mailing Address - Country:US
Mailing Address - Phone:708-532-1337
Mailing Address - Fax:708-532-1899
Practice Address - Street 1:18425 W WEST CREEK DR
Practice Address - Street 2:SUITE G
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-6767
Practice Address - Country:US
Practice Address - Phone:708-532-1337
Practice Address - Fax:708-532-1899
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225B00000X
IL2279P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function Technologist
Not Answered2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation