Individual provider · NPI-1

Dr. Angela Dianira Alcarraz Bedrillana, MD

Internal Medicine · Berwyn, IL

NPI number1033813720
StatusActive
Last updated in NPPESOct 16, 2023

Details

NPI
1033813720
Entity type
Individual (NPI-1)
Name
Dr. Angela Dianira Alcarraz Bedrillana
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 28, 2023
Certification date
Oct 16, 2023
Last updated
Oct 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine1250824400ILYes

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 708-783-6566 · Fax 708-783-6566

Mailing address

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 708-783-3347

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