Provider Demographics
NPI:1437034881
Name:REGENCIA, MARIA NELFA SORRONDA (MT)
Entity type:Individual
Prefix:
First Name:MARIA NELFA
Middle Name:SORRONDA
Last Name:REGENCIA
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9213 PARKLANE AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60131-2837
Mailing Address - Country:US
Mailing Address - Phone:847-329-7500
Mailing Address - Fax:847-807-4403
Practice Address - Street 1:9213 PARKLANE AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:IL
Practice Address - Zip Code:60131-2837
Practice Address - Country:US
Practice Address - Phone:847-329-7500
Practice Address - Fax:847-807-4403
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL144225246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory