Provider Demographics
NPI:1396011763
Name:BADRELDIN, NEVERT (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:NEVERT
Middle Name:
Last Name:BADRELDIN
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:250 E SUPERIOR ST STE 5-2149
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2914
Mailing Address - Country:US
Mailing Address - Phone:312-472-4685
Mailing Address - Fax:312-472-0511
Practice Address - Street 1:250 E SUPERIOR ST STE 5-2149
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2914
Practice Address - Country:US
Practice Address - Phone:312-472-4685
Practice Address - Fax:312-472-0511
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036139704207VM0101X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine