Individual
BRIDGIT KIOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 W 95TH ST STE 210, OAK LAWN, IL 60453-2793
(312) 949-4200
Mailing address
4220 W 95TH ST STE 210, OAK LAWN, IL 60453-2793
(312) 949-4200
(708) 423-1899
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125083415
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2023
Last updated
06/24/2024
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