Individual
KAYSHA LYNNE RIBAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2116 S SPRINGFIELD AVE, CHICAGO, IL 60623-2465
(808) 383-4831
Mailing address
2653 W OGDEN AVE FL 3, CHICAGO, IL 60608-1647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.075391
IL
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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