Yordan, Edgardo L

Yordan, Edgardo L is an individual health care provider with primary practice located at 1725 W Harrison St Suite 1010, Chicago IL 60612-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Yordan, Edgardo L can be contacted via phone (312) 942-6300.

Contact Information

Primary practice address
1725 W Harrison St Suite 1010 Chicago IL 60612-3841
Phone: (312) 942-6300
Fax: (312) 942-6301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 036061392 Illinois

Profile Details

NPI number 1184609158
LBN Legal business name Yordan, Edgardo L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Sep 23rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184609158 NPPES
Illinois Other 01621679 BCBS OF IL
Illinois MEDICAID 036061392 / 02 BCBS OF IL

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