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NPI 1972687481

NPI 1972687481 : REGENCY MEDICAL CENTER, P.C. : LAKE BARRINGTON, IL

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General NPI Number Information
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    NPI Number           |    1972687481
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    Entity Type          |    Organization 
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    Legal Business Name  |    REGENCY MEDICAL CENTER, P.C. 
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Dates
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    Enumeration Date     |    10/24/2006
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    Last Update Date     |    01/30/2026
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Provider Practice Location Address
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    Address Line         |    22285 N PEPPER RD STE 302 
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    City                 |    LAKE BARRINGTON
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    State                |    IL
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    Zip                  |    60010-2541
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    Country              |    US
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    Telephone            |    847-726-0774
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    Fax                  |    847-277-1549
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Provider Business Mailing Address
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    Address Line         |    22285 N PEPPER RD STE 302 
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    City                 |    LAKE BARRINGTON
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    State                |    IL
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    Zip                  |    60010-2541
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    Country              |    US
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    Telephone            |    847-726-0774
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    Fax                  |    847-277-1549
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     ANKITA  PATEL 
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    Credential           |    
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    Telephone            |    847-726-0774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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