Individual
LAURA JEAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Mailing address
676 N SAINT CLAIR ST STE 600, CHICAGO, IL 60611-2981
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036134047
IL
207RI0011X
Interventional Cardiology Physician
Primary
036134047
IL
Other
Enumeration date
06/05/2011
Last updated
05/15/2019
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