Individual
DR. LAURA LEE CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3048 N WILTON AVE FL 2, CHICAGO, IL 60657-6710
(773) 296-5424
(733) 296-5265
Mailing address
3048 N WILTON AVE FL 2, CHICAGO, IL 60657-6710
(773) 296-5424
(733) 296-5265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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