Gordon, Olena

Gordon, Olena is an sole proprietor health care provider with primary practice located at 8937 W Golf Rd , Niles IL 60714-5812. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gordon, Olena can be contacted via phone (847) 375-9711.

Contact Information

Primary practice address
8937 W Golf Rd Niles IL 60714-5812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036131766 Illinois

Profile Details

NPI number 1528309705
LBN Legal business name Gordon, Olena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2013
Last updated Dec 17th, 2019 - about 6 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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