Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-097552 | IL |
N | 111NI0900X | Internist | 036-097552 | IL |
Y | 207RI0200X | Infectious Disease | 036-097552 | IL |
NPI | 1083728398 |
---|---|
Provider Name | Dr. Sheila Mina Badri |
First Address | Chicago, IL 60614-5601 |
Second Address | Chicago, IL 60612-3714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 21/04/2021 |