Provider Demographics
NPI:1083728398
Name:BADRI, SHEILA MINA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:MINA
Last Name:BADRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1625 N CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5601
Mailing Address - Country:US
Mailing Address - Phone:312-864-4585
Mailing Address - Fax:312-864-9496
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-4585
Practice Address - Fax:312-864-9496
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2021-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-097552207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine