Provider Demographics
NPI:1528083342
Name:CHORLEY, REGINA A (APRN, CNP)
Entity type:Individual
Prefix:MS
First Name:REGINA
Middle Name:A
Last Name:CHORLEY
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:ANSBRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15300 WEST AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4685
Mailing Address - Country:US
Mailing Address - Phone:708-226-2318
Mailing Address - Fax:708-226-2319
Practice Address - Street 1:15300 WEST AVE STE 108
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4685
Practice Address - Country:US
Practice Address - Phone:708-226-2318
Practice Address - Fax:708-226-2319
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-006015363LA2200X
IL209006015363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health