Bernadeta Leegan Wibisono
M.D. | Pediatrics | Female
Bernadeta Leegan Wibisono, M.D. is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Bernadeta Leegan Wibisono is
2951 S King Dr Apt 1004, Chicago, Illinois - 60616-3359. She can be contacted on phone at
312-351-1346.
Bernadeta Leegan Wibisono is a sole proprietor of her business.
NPI number (Unique professional ID) for Bernadeta Leegan Wibisono is
1003143504 which was assigned by NPPES on 04 Nov, 2009 and it was last updated on 04 Nov, 2009.
Bernadeta Leegan Wibisono license number is
125055427 for Pediatrics (208000000X) in Illinois.
Bernadeta Leegan Wibisono is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Bernadeta Leegan Wibisono basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Bernadeta Leegan Wibisono |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Bernadeta Leegan Wibisono address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2951 S King Dr Apt 1004
Chicago, IL, 60616-3359
United States |
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| Phone Number : | 312-351-1346 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003143504 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Nov, 2009 |
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| Last Updated On : | 04 Nov, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bernadeta Leegan Wibisono are as mentioned. Primary taxonomy code for Bernadeta Leegan Wibisono, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 125055427 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2951 S King Dr Apt 1004
Chicago, IL, 60616-3359
United States |
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Business Location:
Patients can refer following map for directions to
Bernadeta Leegan Wibisono practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.