Bradshaw, William H
Bradshaw, William H is an individual health care provider with primary practice located at 2800 N Sheridan Rd Suite 209, Chicago IL 60657-6156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bradshaw, William H can be contacted via phone (773) 477-4343.Contact Information
Primary practice address
2800 N Sheridan Rd Suite 209
Chicago IL 60657-6156
Phone: (773) 477-4343
Fax: (773) 477-5088
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036078287 | Illinois |
Profile Details
NPI number | 1588637953 |
---|---|
LBN Legal business name | Bradshaw, William H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Feb 14th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588637953 | NPPES |
Illinois | MEDICAID | 036078287 | |
Illinois | Other | 060028585 |
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