Individual
SHISHIRA S BHARADWAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2490 S WOODWORTH LOOP STE 200, PALMER, AK 99645-7410
(630) 639-2544
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036154430
IL
207RG0100X
Gastroenterology Physician
285007
MA
207RG0100X
Gastroenterology Physician
A156145
CA
207RG0100X
Gastroenterology Physician
MD28709
ME
Other
Enumeration date
06/09/2009
Last updated
12/05/2025
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