Active NPI
Laura Cibul Kordon, M.D.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1366457749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Practice address
- 541 N Fairbanks CT
Suite 2719
Chicago, IL 60611-3319 - Phone
- (312) 670-3511
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | IL | Primary |
Addresses
Primary practice location
541 N Fairbanks CT
Suite 2719
Chicago, IL 60611-3319
Mailing address
541 N Fairbanks CT
Suite 2719
Chicago, IL 60611-3319
Phone (312) 670-3511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1622518 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251007000768 | IL | Practitioner - Psychiatry | 1153828231 | Practice locations: Chicago, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12 W Gilbride Ave
Murray, UT 84107-5732
301 N Michican Ave
Suite 1621
Chicago, IL 60602-3402
Phone (312) 670-3511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366457749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 N FAIRBANKS CT",
"address_2": "SUITE 2719",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113319",
"telephone_number": "312-670-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 N FAIRBANKS CT",
"address_2": "SUITE 2719",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113319",
"telephone_number": "312-670-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORDON",
"first_name": "LAURA",
"middle_name": "CIBUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1622518",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.