Search › Illinois › 207N00000X
Jennifer Shastry, M.D
NPI 1275989808 · on the registry since 2016
Practice
- Address
- 111 W Washington St Ste 1801
Chicago, IL 60602 - Phone
- (312) 695-8106
- Fax
- (312) 694-1340
- Organisation at this address
- City Of Chicago
City Of Chicago
Covert Minds Therapy
Dental Loft - The Loop
Arnold M. Tatar, Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 7435 W Talcott Ave, Chicago, IL
- 676 N Saint Clair St Ste 1600, Chicago, IL
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois