Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Regan Lane Kendregan, PA

Individual provider Physician Assistant · NPI 1356488621

Regan Lane Kendregan, PA is a Physician Assistant in Kankakee, Illinois. Qualified in 1997, 29 years ago. Offers telehealth. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

400 N Wall St Ste 510
Kankakee, IL 60901-2940
Phone: (815) 932-5725
Fax: (915) 932-5872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001523 (IL)

Record details

NPI number1356488621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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