Gordon, Zanu

Gordon, Zanu is an individual health care provider with primary practice located at 42 W Madison St , Chicago IL 60602-4309. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gordon, Zanu can be contacted via phone (773) 553-1800.

Contact Information

Primary practice address
42 W Madison St Chicago IL 60602-4309
Phone: (773) 553-1800
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1093473506
LBN Legal business name Gordon, Zanu
Credentials S.S.P
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2021
Last updated Dec 1st, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093473506 NPPES
Illinois Other 2453303 ISBE

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