Bernadeta Wibisono, M.D.
Bernadeta Wibisono, M.D. is a Pediatrics Physician in Chicago, IL, registered under NPI 1003143504. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Chicago, based on OpenStreetMap data collected Sep 8, 2026. Parking is available about 795 ft away. The nearest transit stop is 505 ft away, served by King Drive & 61st Street. If you arrive early, there is a coffee shop 970 ft away.
Getting here and what is nearby
Transit King Drive & 60th Street 24 ft ~1 min
Transit King Drive & 60th Street 95 ft ~1 min
Parking 405 ft ~2 min
Transit King Drive & 61st Street 505 ft ~2 min
Parking 511 ft ~2 min
Parking 795 ft ~4 min
Restaurant 2 Potz & A Pan Eatery 807 ft ~4 min
6052 South Eberhart Avenue, Chicago 60637
Convenience Woodlawn Neighborhood Market 855 ft ~4 min
Coffee Greenline Coffee 970 ft ~4 min
Convenience New Food Mart 0.36 mi ~8 min
Convenience D Train Food Mart 0.39 mi ~8 min
447 East 63rd Street, Chicago 60637
Grocery Woodlawn Fresh Market 0.42 mi ~9 min
6319 South Vernon Avenue, Chicago 60637
Grocery Jewel-Osco 0.44 mi ~9 min
6014 South Cottage Grove Avenue, Chicago 60637
Mo-Su 06:00-22:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 125055427 | IL | Pediatrics Physician primary |
This provider holds licence 125055427 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatrics covers
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NUCC Health Care Provider Taxonomy, code 208000000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003143504 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 4, 2009 |
| Last updated | Nov 4, 2009 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | M.D. |
| Practice address |
2951 S KING DR APT 1004 Chicago, IL 60616 (312) 351-1346 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 4 | 3 | 5 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 2 | 4 | 6 | 5 | 0 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.