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Individual

DR. LAURA LOUISE SEMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14315 SOUTH 108TH AVENUE, SUITE 114, ORLAND PARK, IL 60467-5701
(708) 873-1101
(708) 873-9909
Mailing address
14315 SOUTH 108TH AVENUE, SUITE 114, ORLAND PARK, IL 60467-5701
(708) 873-1101
(708) 873-9909

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01608167
BCBS INS
IL
01
4526301
AETNA INS
IL
Enumeration date
11/13/2006
Last updated
07/08/2007
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