Individual
DR. LOREN E DARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634575
BLUE SHIELD
IL
01
—
P00412102
RR MEDICARE
IL
Enumeration date
09/12/2006
Last updated
03/07/2023
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