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Individual
SUSAN BARDOLPH
Active
Individual
SUSAN BARDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.144202
IL
207R00000X
Internal Medicine Physician
125065525
IL
208M00000X
Hospitalist Physician
036144202
IL
Other
Enumeration date
04/03/2014
Last updated
08/03/2023
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