Gordon, Dawnelle Marie-Vargas
Gordon, Dawnelle Marie-Vargas is an sole proprietor health care provider with primary practice located at 2150 W Harrison St , Chicago IL 60612-3706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gordon, Dawnelle Marie-Vargas can be contacted via phone (312) 942-5375.Contact Information
Primary practice address
2150 W Harrison St
Chicago IL 60612-3706
Phone: (312) 942-5375
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209005943 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209005943 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | G-113375 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7345-33 | Wisconsin |
Profile Details
NPI number | 1780647586 |
---|---|
LBN Legal business name | Gordon, Dawnelle Marie-Vargas |
Credentials | PMHNP-BC, ARNP, APNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2006 |
Last updated | Apr 5th, 2022 - about 3 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 | 1780647586 | NPPES |
Iowa | Other | 11851721 | CAQH |
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