Search › Illinois › 207R00000X
Susan Bardolph, MD
NPI 1740608058 · on the registry since 2014
Practice
- Address
- 1121 South Blvd
Oak Park, IL 60302 - Phone
- (708) 745-5744
- Fax
- (630) 456-7486
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208M00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois