Individual
SHREENATH BISHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD APT 3704, LAKE FOREST, IL 60045-1658
(847) 535-6218
(847) 535-6237
Mailing address
1000 N WESTMORELAND RD APT 3704, LAKE FOREST, IL 60045-1658
(847) 535-6218
(847) 535-6237
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036122363
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125-048944
IL
390200000X
Student in an Organized Health Care Education/Training Program
0116021240
VA
Other
Enumeration date
09/30/2008
Last updated
08/27/2021
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