Individual provider · Type 1 NPI

Bernadeta Leegan Wibisono, MD

Pediatrics Physician · Chicago, IL

NPI number 1003143504 Active

Practice location

2951 S King Dr Apt 1004
Chicago, IL 60616-3359

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X125055427 (IL)

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1003143504

Bernadeta Leegan Wibisono, MD's National Provider Identifier is 1003143504, issued on Nov 4, 2009. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Chicago, IL. The record was last updated on Nov 4, 2009.