Individual
CHARLOTTE J. BAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 W HARRISON ST, SUITE 1159, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 942-4039
Mailing address
1725 W HARRISON ST, SUITE 1159, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 942-4039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036113783
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036113783
IL
207RC0000X
Cardiovascular Disease Physician
55911
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740484807
—
WI
Enumeration date
06/13/2007
Last updated
12/20/2021
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