Individual
SHISHIR K MAITHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 695-1144
Mailing address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 695-1144
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
036171477
IL
2086X0206X
Surgical Oncology Physician
062739
GA
Other
Enumeration date
06/09/2008
Last updated
08/28/2025
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