Kertowidjojo, Elizabeth

Kertowidjojo, Elizabeth is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Kertowidjojo, Elizabeth can be contacted via phone (888) 824-0200.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (888) 824-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 036155653 Illinois

Profile Details

NPI number 1659767259
LBN Legal business name Kertowidjojo, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2015
Last updated Oct 24th, 2022 - about 4 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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