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Individual

DR. LAURA MARIE USELDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
636 RAYMOND DR, SUITE #205, NAPERVILLE, IL 60563-9789
(630) 717-2300
(630) 717-9638
Mailing address
636 RAYMOND DR, SUITE #205, NAPERVILLE, IL 60563-9789
(630) 717-2300
(630) 717-9638

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036117601
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036117601
IL
01
2215474
BCBS OF ILLINOIS
Enumeration date
10/31/2007
Last updated
10/04/2011
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