Individual
ANN E BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 1520, CHICAGO, IL 60611-3111
(312) 695-8150
(312) 695-3652
Mailing address
259 E ERIE ST STE 1520, CHICAGO, IL 60611-3111
(312) 695-8150
(312) 695-3652
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036072393
IL
207W00000X
Ophthalmology Physician
079589
GA
Other
Enumeration date
02/23/2006
Last updated
04/07/2021
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