Individual
SHUTING BAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1423 CHICAGO RD, CHICAGO HEIGHTS, IL 60411-3400
(212) 263-0956
Mailing address
113 E 4TH ST, MICHIGAN CITY, IN 46360-3301
(219) 879-3586
(219) 873-3131
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.136883
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2007
Last updated
12/17/2021
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