Individual
SHELLY BHANOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-0200
Mailing address
1105 W FRY ST, CHICAGO, IL 60642-4117
(815) 721-3513
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
125072769
IL
Other
Enumeration date
04/12/2018
Last updated
06/25/2024
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