Individual
DR. KARI GARDES BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 W 95TH ST RM 250N, OAK LAWN, IL 60453-2600
(708) 684-5722
Mailing address
4440 W 95TH ST RM 250N, OAK LAWN, IL 60453-2600
(708) 684-5722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A143346
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036149910
IL
390200000X
Student in an Organized Health Care Education/Training Program
A143346
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/08/2013
Last updated
08/13/2019
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