Marshall Elliott Kordon in Chicago - Clinical
Marshall Elliott Kordon - NPI 1487689972
Marshall Elliott Kordon is a Clinical in Chicago, Illinois. Marshall Elliott Kordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marshall Elliott Kordon is 1487689972. The last update date is 2021-07-07.
Marshall Elliott Kordon's current location address is 5100 N Ravenswood Ave Ste 239, Chicago, Illinois. You can contact this provider via phone number 7732673703 and fax number 7732673703. The mailing address for Marshall Elliott Kordon is 5100 N Ravenswood Ave Ste 239, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marshall Elliott Kordon |
|---|---|
| Address | 5100 N Ravenswood Ave Ste 239, Chicago, Illinois |
| Phone Number | 7732673703 |
| Fax Number | 7732673703 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1487689972 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2021-07-07 |
Provider Mailing Address Detail
| Address | 5100 N Ravenswood Ave Ste 239 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606401752 |
| Phone Number | 7732673703 |
| Fax Number | 7732673703 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.005308 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 364256529 | IL | UNITED BEHAVIORAL HEALTH | |
| 1621915 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marshall Elliott Kordon?
The Marshall Elliott Kordon has been issued the NPI (National Provider Identifier) 1487689972 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Marshall Elliott Kordon located?
The Marshall Elliott Kordon is located at 5100 N Ravenswood Ave Ste 239, Chicago, IL 606401752.
What is the area of specialization for Marshall Elliott Kordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marshall Elliott Kordon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did the Marshall Elliott Kordon receive its 1487689972?
The Marshall Elliott Kordon was issued its 1487689972 on 2006-07-12, which is the date when the organization was assigned this unique identifier.
When was the information related to Marshall Elliott Kordon most recently updated or refreshed?
The details pertaining to the Marshall Elliott Kordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-07-07.
NPI Number: 1063415297
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