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
Fax: (773) 477-5088
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588637953 NPPES
Illinois MEDICAID 036078287
Illinois Other 060028585

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