MEDICARE: REGIONAL CARE ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09932150	OTHER	IL	BCBS ILLINOIS #

General Provider Information

NPI Number	:	1275547820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL CARE ASSOCIATION

Provider Business Mailing Address
First Line	:	72 N CHICAGO ST
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60432-4315
Country	:	US
Telephone Number	:	815-722-7000
Fax Number	:	815-722-7180

Provider Business Practice Location Address
First Line	:	72 N CHICAGO ST
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60432-4315
Country	:	US
Telephone Number	:	815-722-7000
Fax Number	:	815-722-7180

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/22/2020

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Directions to “REGIONAL CARE ASSOCIATION ” Practice Location

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