Bardolph, Susan
Bardolph, Susan is an individual health care provider with primary practice located at 1121 South Blvd , Oak Park IL 60302-2812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bardolph, Susan can be contacted via phone (708) 745-5744.Contact Information
Primary practice address
1121 South Blvd
Oak Park IL 60302-2812
Phone: (708) 745-5744
Fax: (630) 456-7486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125065525 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.144202 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036144202 | Illinois |
Profile Details
| NPI number | 1740608058 |
|---|---|
| LBN Legal business name | Bardolph, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2014 |
| Last updated | Aug 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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