Gordon, Samantha Claire

Gordon, Samantha Claire is an individual health care provider with primary practice located at 1765 N Elston Ave Ste 110 , Chicago IL 60642-1501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Gordon, Samantha Claire can be contacted via phone (773) 276-1100.

Contact Information

Primary practice address
1765 N Elston Ave Ste 110 Chicago IL 60642-1501
Phone: (773) 276-1100
Fax: (773) 276-1102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 36151568 Illinois
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 036151568 Illinois

Profile Details

NPI number 1871942177
LBN Legal business name Gordon, Samantha Claire
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2016
Last updated Aug 24th, 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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