BERNADETA LEEGAN WIBISONO

CHICAGO, IL
NPI1003143504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: IL  125055427)
Enumeration Date2009-11-04
Last Update Date2009-11-04
Business Address
-- BERNADETA LEEGAN WIBISONO M.D.
2951 S KING DR APT 1004
CHICAGO, IL 60616-3359
Phone number: 312-351-1346
Mailing Address
-- BERNADETA LEEGAN WIBISONO M.D.
2951 S KING DR APT 1004
CHICAGO, IL 60616-3359
Phone number:
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