Gordon, Michael

Gordon, Michael is an individual health care provider with primary practice located at 9401 N Hamlin Ave , Niles IL 60714-5869. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gordon, Michael can be contacted via phone (847) 493-8669.

Contact Information

Primary practice address
9401 N Hamlin Ave Niles IL 60714-5869
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 402651 Illinois

Profile Details

NPI number 1881314219
LBN Legal business name Gordon, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2022
Last updated Aug 29th, 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.

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