Nadine Kim Lebo in Berwyn - Diagnostic Radiology

Nadine Kim Lebo - NPI 1598704728

Nadine Kim Lebo is a Diagnostic Radiology in Berwyn, Illinois. Nadine Kim Lebo practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Nadine Kim Lebo is 1598704728. The last update date is 2022-05-23.

Nadine Kim Lebo's current location address is 3249 South Oak Park Ave., Berwyn, Illinois. You can contact this provider via phone number 7087832696 and fax number 7087833164. The mailing address for Nadine Kim Lebo is 3249 South Oak Park Ave., Berwyn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Nadine Kim Lebo
Address 3249 South Oak Park Ave., Berwyn, Illinois
Phone Number 7087832696
Fax Number 7087833164
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1598704728
Provider Enumeration Date 2006-06-05
Last Updated Date 2022-05-23

Provider Mailing Address Detail

Address 3249 South Oak Park Ave.
City Berwyn
State Illinois (IL)
Post Code 60402
Phone Number 7087832696
Fax Number 7087833164

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 036-097906
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36097906 IL --
300113436 IL RR MEDICARE

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FAQs about Nadine Kim Lebo

What is the Nadine Kim Lebo's 1598704728?

The Nadine Kim Lebo's NPI (National Provider Identifier) Number is 1598704728. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Nadine Kim Lebo's facilities are geographically located?

The facilities of Nadine Kim Lebo are physically situated at the following location: 3249 South Oak Park Ave., Berwyn, IL, 60402.

What is Nadine Kim Lebo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Nadine Kim Lebo's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the Nadine Kim Lebo receive the assignment of its 1598704728 from the Centers for Medicare & Medicaid Services?

The Nadine Kim Lebo was issued its 1598704728 by the Centers for Medicare & Medicaid Services on 2006-06-05.

As of what date was the information pertaining to Nadine Kim Lebo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nadine Kim Lebo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-05-23.

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