Individual
DR. LAURA CIBUL KORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
541 N FAIRBANKS CT, SUITE 2719, CHICAGO, IL 60611-3319
(312) 670-3511
Mailing address
541 N FAIRBANKS CT, SUITE 2719, CHICAGO, IL 60611-3319
(312) 670-3511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622518
BCBS
IL
Enumeration date
07/31/2006
Last updated
07/08/2007
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