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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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