Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH REYNOLDS WARREN, MD
ActiveDR. KEITH REYNOLDS WARREN, MD is a Sports Medicine (IM) healthcare provider located in WINFIELD, Illinois. NPI 1164493854 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · WINFIELD, IL
Registration Details
- NPI Number
- 1164493854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.563288686271 yrs)
- Last Updated
- Apr 15, 2015
- Licenses
-
42-0010962 (VT)036125979 (IL)13059 (NH)036125979 (IL)
Practice Information
- Address
-
25 N WINFIELD RDWINFIELD, IL, 600073361Browse IL providers · Browse ZIP 60007
- Phone
- 6306904993
- Fax
- 6306902293
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.