Individual
CORD STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 472-0625
Mailing address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 695-0641
(312) 695-4955
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036099282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099282
—
IL
Enumeration date
03/01/2006
Last updated
02/04/2020
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