Individual
DR. KONRAD LEBIODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, DEPT OF RADIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-5221
Mailing address
2160 S 1ST AVE, DEPT OF RADIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-5221
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036123469
IL
2085R0202X
Diagnostic Radiology Physician
237335
NY
Other
Enumeration date
06/05/2008
Last updated
09/18/2014
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