Gordey, Keith
Gordey, Keith is an individual health care provider with primary practice located at 302 Randall Rd Ste 309, Geneva IL 60134-4209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gordey, Keith can be contacted via phone (630) 232-0202.Contact Information
Primary practice address
302 Randall Rd Ste 309
Geneva IL 60134-4209
Phone: (630) 232-0202
Fax: (630) 232-0479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036072678 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036072678 | Illinois |
Profile Details
| NPI number | 1104803378 |
|---|---|
| LBN Legal business name | Gordey, Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Dec 29th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104803378 | NPPES |
| Illinois | MEDICAID | 036072678 | |
| Illinois | Other | 1615809 |
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