Individual
JOI F BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6307 S STEWART AVE, CHICAGO, IL 60621
(773) 962-3939
(773) 420-1542
Mailing address
6307 S STEWART AVE, CHICAGO, IL 60621-3116
(773) 962-3939
(773) 420-1542
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036111458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200530730
—
IN
Enumeration date
11/15/2005
Last updated
12/20/2021
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