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Individual

DR. WILLIAM H BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2800 N SHERIDAN RD, SUITE 209, CHICAGO, IL 60657-6156
(773) 477-4343
(773) 477-5088
Mailing address
1095 PAYSPHERE CIR, CHICAGO, IL 60674-0010
(773) 477-4343
(773) 477-5088

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036078287
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036078287
IL
01
060028585
RAILROAD MEDICARE
IL
Enumeration date
02/08/2006
Last updated
02/14/2020
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