Individual
BERNADETA LEEGAN WIBISONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2951 S KING DR APT 1004, CHICAGO, IL 60616-3359
(312) 351-1346
Mailing address
2951 S KING DR APT 1004, CHICAGO, IL 60616-3359
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125055427
IL
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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