Individual
HYSOO KA-WIDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1890 SILVER CROSS BLVD, SUITE 210, NEW LENOX, IL 60451-9524
(815) 463-3000
(815) 463-3013
Mailing address
PO BOX 663, FRANKFORT, IL 60423
(815) 463-3000
(815) 463-3013
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036105467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036105467
BCBS
IL
05
—
0361054671
—
IL
Enumeration date
10/03/2006
Last updated
05/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us