IndividualActive
Jennifer Reagan
NPI 1033662416 · Specialist · Lanark, IL
Provider details
- NPI number
- 1033662416
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 36-2663577 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
201 Il Route 64
Lanark, IL 61046-8903
Phone: (815) 493-2321
Approximate (ZIP-level) locationGet directions
Mailing address
201 Il Route 64
Lanark, IL 61046-8903
Registry dates
- Enumerated
- 2016-08-02
- Last updated
- 2016-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.