ELYSA WIDJAJA

CHICAGO, IL
NPI1184331522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085P0229X Radiology, Pediatric Radiology
(Licence: IL  036.161747)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036161747)
Enumeration Date2022-11-04
Last Update Date2023-03-06
Business Address
Dr. ELYSA WIDJAJA MD
LURIE CHILDREN'S HOSPITAL 225 E. CHICAGO AVENUE
CHICAGO, IL 60611
Phone number: 312-227-3475
Mailing Address
Dr. ELYSA WIDJAJA MD
LURIE CHILDREN'S HOSPITAL 225 E. CHICAGO AVENUE
CHICAGO, IL 60611
Phone number: 312-227-3475