IndividualActive
Reagan Bradshaw
NPI 1578434262 · Critical Care Pediatric Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1578434262
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.035328 (IL)
Mailing address
225 E Chicago Ave
Chicago, IL 60611-2991
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.