Gordon, Jeffrey B
Gordon, Jeffrey B is an individual health care provider with primary practice located at 450 W Highway 22 , Barrington IL 60010-1919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gordon, Jeffrey B can be contacted via phone (847) 381-9600.Contact Information
Primary practice address
450 W Highway 22
Barrington IL 60010-1919
Phone: (847) 381-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036085143 | Illinois |
Profile Details
| NPI number | 1558308676 |
|---|---|
| LBN Legal business name | Gordon, Jeffrey B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 27th, 2009 - about 15 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 | 1558308676 | NPPES |
| Illinois | MEDICAID | 036085143 | |
| Illinois | Other | P00645039 |
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