Dezynski, Catherine Shannon

Dezynski, Catherine Shannon is an individual health care provider with primary practice located at 5215 N California Ave Fl 7 , Chicago IL 60625-7014. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Dezynski, Catherine Shannon can be contacted via phone (312) 666-3494.

Contact Information

Primary practice address
5215 N California Ave Fl 7 Chicago IL 60625-7014
Phone: (312) 666-3494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 209.008431 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209-017470 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209071470 Illinois

Profile Details

NPI number 1932409489
LBN Legal business name Dezynski, Catherine Shannon
Credentials WHNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2010
Last updated Aug 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932409489 NPPES
Illinois Other F400448067 MEDICARE

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