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General NPI Number Information
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NPI Number | 1659880698
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Entity Type | Organization
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Legal Business Name | DR. KORDAS PEDIATRIC HEALTH CARE CENTER, LLC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 3275 N ARLINGTON HEIGHTS RD STE 409
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7709
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Country | US
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Telephone | 224-857-8000
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Fax | 244-857-8001
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Provider Business Mailing Address
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Address Line | 3335 N ARLINGTON HEIGHTS RD STE H
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1573
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Country | US
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Telephone | 847-903-5400
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | BERNADETA KORDAS
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Credential | MD
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Telephone | 847-903-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036100837
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License Number State | IL
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