Individual
DR. ERNESTO IBALIO LARDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11528 183RD PL, ORLAND PARK, IL 60467-9467
(708) 326-1700
(708) 326-1707
Mailing address
315 S NAPERVILLE RD, WHEATON, IL 60187-5423
(630) 221-0200
(630) 384-2644
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-058421
IL
Other
Enumeration date
05/25/2006
Last updated
07/21/2022
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