Healthcare Provider Details

I. General information

NPI: 1275547820
Provider Name (Legal Business Name): REGIONAL CARE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 N CHICAGO ST
JOLIET IL
60432-4315
US

IV. Provider business mailing address

72 N CHICAGO ST
JOLIET IL
60432-4315
US

V. Phone/Fax

Practice location:
  • Phone: 815-722-7000
  • Fax: 815-722-7180
Mailing address:
  • Phone: 815-722-7000
  • Fax: 815-722-7180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICIA L LANGEHENNIG
Title or Position: EXECUTIVE DIRECTOR
Credential: MD, MPH
Phone: 815-722-7000