Individual
STEPHANIE NICOLE PUGA-BERNALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1747 W ROOSEVELT RD, CHICAGO, IL 60608-1264
(312) 996-0434
Mailing address
1747 W ROOSEVELT RD, CHICAGO, IL 60608-1264
(312) 996-0434
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036173650
IL
Other
Enumeration date
03/22/2021
Last updated
03/03/2025
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