Individual
JOHNNA RAY REGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNM, WHNP-BC
Contact information
Practice address
1801 W. TAYLOR ST., SUITE 4C M/C 650, CHICAGO, IL 60612
(312) 413-7500
(312) 413-3856
Mailing address
820 S. WOOD ST., M/C 808, CHICAGO, IL 60612
(312) 996-4390
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
041433067
IL
367A00000X
Advanced Practice Midwife
Primary
209012988
IL
367A00000X
Advanced Practice Midwife
209015606
IL
367A00000X
Advanced Practice Midwife
309008640
IL
Other
Enumeration date
05/23/2014
Last updated
04/17/2019
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