Gordon, Eitan M

Gordon, Eitan M is an individual health care provider with primary practice located at 2800 29Th St , Zion IL 60099-3010. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gordon, Eitan M can be contacted via phone (847) 872-5455.

Contact Information

Primary practice address
2800 29Th St Zion IL 60099-3010
Phone: (847) 872-5455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 824544 Illinois

Profile Details

NPI number 1417455452
LBN Legal business name Gordon, Eitan M
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2018
Last updated Jan 24th, 2018 - about 7 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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