Daniel Adam Gordon LCSW

NPI 1649429242 - Social Worker - 1041C0700X

NPI Details
NPI 1649429242
Gender Male
Enumeration Date 09/18/2008
Last Updated 08/24/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
5325 S HYDE PARK BLVD
CHICAGO IL, 60615-5720, US
Phone (312) 952-8608
Fax
Business Location
5325 S HYDE PARK BLVD
CHICAGO IL, 60615-5720, US
Phone (312) 952-8608
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149015415
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According to our database, Daniel Adam Gordon LCSW NPI is 1649429242, taxonomy code is 1041C0700X and license number is 149015415, license state is located at Illinois. Daniel Adam Gordon LCSW physically located at 5325 S Hyde Park Blvd, Chicago IL, 60615-5720. NPI Number Daniel Adam Gordon LCSW has the Individual type.

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1649429242 NPI number is provided on an as is basis without warranty of any kind. 1649429242 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Adam Gordon LCSW are for informational purposes only.