| Bernadeta Leegan Wibisono, MD | |
|
2951 S King Dr Apt 1004, Chicago, IL 60616-3359 | |
| (312) 351-1346 | |
| Not Available |
| Full Name | Bernadeta Leegan Wibisono |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2951 S King Dr Apt 1004, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003143504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 125055427 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bernadeta Leegan Wibisono, MD 2951 S King Dr Apt 1004, Chicago, IL 60616-3359 Ph: () - | Bernadeta Leegan Wibisono, MD 2951 S King Dr Apt 1004, Chicago, IL 60616-3359 Ph: (312) 351-1346 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 |