Gordon, Andrew J

Gordon, Andrew J is an individual health care provider with primary practice located at 22285 N. Pepper Road Suite 401, Lake Barrington IL 60010-2538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gordon, Andrew J can be contacted via phone (847) 882-6604.

Contact Information

Primary practice address
22285 N. Pepper Road Suite 401 Lake Barrington IL 60010-2538
Phone: (847) 882-6604
Fax: (847) 882-2538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036106343 Illinois

Profile Details

NPI number 1508898206
LBN Legal business name Gordon, Andrew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Dec 29th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508898206 NPPES
Illinois MEDICAID 0361063431

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