Individual
DR. BRAD WILLIAM SHUFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036127778
IL
207L00000X
Anesthesiology Physician
81898-20
WI
Other
Enumeration date
05/22/2008
Last updated
08/03/2023
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