Individual
SEAN DAVID BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
446 E ONTARIO ST, 7-200, CHICAGO, IL 60611-4418
(312) 926-8058
Mailing address
251 E ONTARIO ST, CHICAGO, IL 60611-3044
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125061160
IL
Other
Enumeration date
06/27/2012
Last updated
01/28/2017
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