Provider Demographics
NPI:1780877134
Name:ANDERS, LAURA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LEE
Last Name:ANDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 N WABASH AVE
Mailing Address - Street 2:STE 1202
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3094
Mailing Address - Country:US
Mailing Address - Phone:312-315-0609
Mailing Address - Fax:312-284-4834
Practice Address - Street 1:111 N WABASH AVE
Practice Address - Street 2:STE 1202
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3094
Practice Address - Country:US
Practice Address - Phone:312-315-0609
Practice Address - Fax:312-284-4834
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIEMC00003932084P0800X
IL0361095702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry