Gordon, Dale S

Gordon, Dale S is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gordon, Dale S can be contacted via phone (847) 362-2900.

Contact Information

Primary practice address
801 S Milwaukee Ave Libertyville IL 60048-3204
Phone: (847) 362-2900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Illinois

Profile Details

NPI number 1679591473
LBN Legal business name Gordon, Dale S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 17th, 2007 - about 17 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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