Active NPI
Laura Jean Cordonnier, DO
- Psychiatry Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036172829
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- Mar 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0102208193 | VA | |
| Psychiatry Physician | 2084P0800X | 05309 | KY | |
| Psychiatry Physician | 2084P0800X | 036172829 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
5801 Pondview Dr
Dayton, OH 45440-2341
Other practice location 1
5801 Pondview Dr
Dayton, OH 45440-2341
Phone (937) 654-2292
Other practice location 2
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (219) 866-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA, FL, WV, IL, MO, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231030003175 | NC | Practitioner - Psychiatry | 1658727482 | Reassigns benefits to 2 organizations |
| I20231128002764 | VA | Practitioner - Psychiatry | 1658727482 | Reassigns benefits to 10 organizations |
| I20231201002244 | FL | Practitioner - Psychiatry | 1658727482 | Reassigns benefits to 2 organizations |
| I20240621001077 | WV | Practitioner - Psychiatry | 1658727482 | Reassigns benefits to 2 organizations |
| I20241224001335 | IL | Practitioner - Psychiatry | 1658727482 | Reassigns benefits to 5 organizations |
| I20250129003162 | MO | Practitioner - Psychiatry | 1658727482 | Reassigns benefits to 2 organizations |
| I20250918003843 | OH | Practitioner - Psychiatry | 1658727482 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rocky Vista University College of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sentara Medical GroupSSM Health Care St LouisSpecialty Physicians of Illinois LLCLoyola University Medical CenterBaycare Behavioral Health Associates, LLCNchmd IncMission Health Community Multispecialty Providers LLCMCV Associated Physicians
Practice addresses (Care Compare)
1080 1St Colonial Rd
Suite 403
Virginia Beach, VA 23454-2406
Phone (757) 395-1850
12355 De Paul Dr
Suite 150
Bridgeton, MO 63044-2581
Phone (314) 344-7200
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (844) 740-4445
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (727) 532-1355
350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100
4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325
618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-3311
8791 Withersfield CT
Springboro, OH 45066-9657
Phone (757) 395-1850
Hospital & facility affiliations
- Community Memorial Hospital
- Sentara RMH Medical Center
- Sentara Leigh Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05309 | KY | MD | Psychiatry Physician |
| 0102208193 | VA | MD | Psychiatry Physician |
Practice roles (49 of 50)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| War Memorial Hospital, Inc. | Current | Accepting new patients | |
| War Memorial Hospital Inc | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Psychiatry | Current | Accepting new patients |
| CMH Physician Services, LLC | Psychiatry | Current | Accepting new patients |
| Hampshire Memorial Hospital, Inc. | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Hampshire Memorial Hospital, Inc. | Current | Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Psychiatry | Current | Accepting new patients |
| CMH Physician Services, LLC | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Psychiatry | Current | Accepting new patients |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Southside Behavioral Health | Psychiatry | Current | Accepting new patients |
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| War Memorial Hospital, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Psychiatry | Current | Accepting new patients |
| MCV Associated Physicians | Psychiatry | Current | Accepting new patients |
| Winchester Medical Center | Psychiatry | Current | Accepting new patients |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| SSM Cardinal Glennon Children'S Hospital | Current | Accepting new patients | |
| Centra Medical Group, LLC | Current | Accepting new patients | |
| Shenandoah Memorial Hospital Inc. | Psychiatry | Current | Accepting new patients |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients |
Locations (25 of 50)
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
3503 E Frontage Rd
Tampa, FL 33607
Phone (813) 586-8187
432 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5200
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
35318 Eagle Way
Chicago, IL 60678
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1005 Broadway St
Quincy, IL 62301
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
12355 De Paul Dr
Ste 160
Bridgeton, MO 63044
Phone (314) 344-7101
12355 De Paul Dr
Ste 150
Bridgeton, MO 63044
Phone (314) 344-7153
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
12800 Corporate Hill Dr
Saint Louis, MO 63131
Phone (314) 989-6430
Networks
- Freedom Health HMO Network
Interoperability endpoints
- lcordonnier1211503@valleyhealth.direct-ci.com
- lcordonnier855961@direct.sentara.net
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 70
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
FL, Psychiatry
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
NC
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
IL
-
- Pediatrics Physician
- O Fallon, IL
- NPI 1174577670
MO, Psychiatry
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
IL
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1992266993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 PONDVIEW DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454402341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
}
],
"practiceLocations": [
{
"address_1": "5801 Pondview Dr",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454402341",
"country_code": "US",
"telephone_number": "937-654-2292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20201 Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611010",
"country_code": "US",
"telephone_number": "219-866-5141",
"fax_number": "708-679-2161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDONNIER",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-31",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102208193",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "05309",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036172829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.