Shasha, Regina Marie

Shasha, Regina Marie is an individual health care provider with primary practice located at 734 W 47Th St , Chicago IL 60609-4411. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shasha, Regina Marie can be contacted via phone (773) 537-3161.

Contact Information

Primary practice address
734 W 47Th St Chicago IL 60609-4411
Phone: (773) 537-3161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000129 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277000129 Illinois

Profile Details

NPI number 1508993031
LBN Legal business name Shasha, Regina Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 15th, 2021 - about 5 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 1508993031 NPPES
Illinois Other 209000848 LICENSE

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