Bradshaw, Joi F

Bradshaw, Joi F is an individual health care provider with primary practice located at 6307 S Stewart Ave , Chicago IL 60621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bradshaw, Joi F can be contacted via phone (773) 962-3939.

Contact Information

Primary practice address
6307 S Stewart Ave Chicago IL 60621
Phone: (773) 962-3939
Fax: (773) 420-1542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036111458 Illinois

Profile Details

NPI number 1164404281
LBN Legal business name Bradshaw, Joi F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Dec 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164404281 NPPES
Indiana MEDICAID 200530730

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