Provider Demographics
NPI:1659880698
Name:DR. KORDAS PEDIATRIC HEALTH CARE CENTER, LLC
Entity Type:Organization
Organization Name:DR. KORDAS PEDIATRIC HEALTH CARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETA
Authorized Official - Middle Name:
Authorized Official - Last Name:KORDAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-903-5400
Mailing Address - Street 1:3335 N ARLINGTON HEIGHTS RD STE H
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1573
Mailing Address - Country:US
Mailing Address - Phone:847-903-5400
Mailing Address - Fax:
Practice Address - Street 1:3275 N ARLINGTON HEIGHTS RD STE 409
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7709
Practice Address - Country:US
Practice Address - Phone:224-857-8000
Practice Address - Fax:244-857-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036100837208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty