Laura Jean Davidson
Interventional Cardiology Internist - Cardiovascular Disease
675 N Saint Clair St Ste 19-100
Chicago
, Illinois 60611-5969
Laura Jean Davidson
Interventional Cardiology Internist - Cardiovascular Disease
675 N Saint Clair St Ste 19-100
Chicago
, Illinois 60611-5969
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Laura Jean Davidson
- 676 N Saint Clair St Ste 600
- Chicago, IL
- Zip : 60611-2981
- Phone :
Second Address
- Laura Jean Davidson
- 675 N Saint Clair St Ste 19-100
- Chicago, IL
- Zip : 60611-5969
- Fax : (312) 695-5774
- Phone : (312) 664-3278
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 036134047 | IL |
| Y | 207RI0011X | Interventional Cardiology | 036134047 | IL |
National Provider Identifier
| NPI | 1003100280 |
|---|---|
| Provider Name | Laura Jean Davidson |
| First Address | Chicago, IL 60611-2981 |
| Second Address | Chicago, IL 60611-5969 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2011 |
| Last Update Date | 15/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.