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DR. KEITH REYNOLDS WARREN MD NPI 1164493854


NPI Information

NPI: 1164493854
Provider Name: DR. KEITH REYNOLDS WARREN, MD
Classification: Internal Medicine - 207RS0012X
Entity Type: Individual

Specialization: Sleep Medicine

PECOS Registration: Yes

Address:
25 N WINFIELD RD
WINFIELD, IL
ZIP 60007
Phone: (630) 690-4993
Get Directions

DR. Keith Reynolds Warren, MD is a sleep medicine internal medicine in Winfield, IL. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. DR. Keith Reynolds Warren, MD NPI is 1164493854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 N WINFIELD RD
WINFIELD, IL
ZIP 60007-361
Phone: (630) 690-4993
Fax: (630) 690-2293

The NPI 1164493854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 4/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine42-0010962VERMONTNo
22084P0800XPsychiatry & NeurologyPsychiatry13059NEW HAMPSHIRENo
32084P0800XPsychiatry & NeurologyPsychiatry036125979ILLINOISNo
4207RS0012XInternal MedicineSleep Medicine036125979ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F400188615OTHERILLINOISMEDICARE PTAN (INDIVIDUAL)
2036125979MEDICAIDILLINOIS
3209308012MEDICARE PINILLINOIS
4206147OTHERILLINOISMEDICARE PTAN (GROUP)
5P00895752MEDICARE PINILLINOIS
6745440007MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.