Gordon, Joe
Gordon, Joe is an sole proprietor health care provider with primary practice located at 514 N Western Ave , Lake Forest IL 60045-1989. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Gordon, Joe can be contacted via phone (847) 482-1900.Contact Information
Primary practice address
514 N Western Ave
Lake Forest IL 60045-1989
Phone: (847) 482-1900
Fax: (847) 482-1909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | Illinois |
Profile Details
| NPI number | 1124199468 |
|---|---|
| LBN Legal business name | Gordon, Joe |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 8th, 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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