Individual
MRS. ANFISA BAIANDUROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 W HARRISON ST, CHICAGO, IL 60612-3705
(503) 703-4967
Mailing address
2121 W HARRISON ST, CHICAGO, IL 60612-3705
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PG199228
OR
Other
Enumeration date
10/10/2020
Last updated
07/23/2025
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