Individual provider · Type 1 NPI
Reagan Marie Bradshaw
Critical Care Pediatric Nurse Practitioner · Chicago, IL
NPI number
1578434262
Active
Practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 209.035328 (IL) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1578434262
Reagan Marie Bradshaw's National Provider Identifier is 1578434262, issued on Sep 15, 2025. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Chicago, IL. The record was last updated on May 21, 2026.