Individual
MR. EDGARDO L YORDAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 1010, CHICAGO, IL 60612-3841
(312) 942-6300
(312) 942-6301
Mailing address
1725 W HARRISON ST, SUITE 1010, CHICAGO, IL 60612-3841
(312) 942-6300
(312) 942-6301
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
036061392
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036061392 / 02
—
IL
Enumeration date
12/13/2005
Last updated
09/23/2011
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