Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 125.072453 | IL |
Y | 208600000X | Surgeon | 125.072453 | IL |
NPI | 1003300682 |
---|---|
Provider Name | Dr. Bobiejo Ava Ferguson Bryan |
First Address | Burr Ridge, IL 60527-4503 |
Second Address | Chicago, IL 60637-1443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2018 |
Last Update Date | 18/06/2018 |