Robert P Gordon Md Sc

NPI 1174954291 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1174954291
Enumeration Date 11/30/2013
Last Updated 11/30/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROBERT P ROBERT
Position PRESIDENT
Phone (312) 922-6067
Fax (773) 751-2250
Practice Location
122 S MICHIGAN AVE
SUITE 1300
CHICAGO IL, 60603-6191, US
Phone (312) 922-6067
Fax (773) 751-2250
Business Location
122 S MICHIGAN AVE
SUITE 1300
CHICAGO IL, 60603-6191, US
Phone (312) 922-6067
Fax (773) 751-2250
Toxanomy
Taxonomy Code 2084P0800X
License State Illinois
License Number 036049215
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According to our database, Robert P Gordon Md Sc NPI is 1174954291, taxonomy code is 2084P0800X and license number is 036049215, license state is located at Illinois. Robert P Gordon Md Sc physically located at 122 S Michigan Ave, Chicago IL, 60603-6191. NPI Number 1033115704 has the healthcare provider type.

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1174954291 NPI number is provided on an as is basis without warranty of any kind. 1174954291 is maintained by the National Plan & Provider Enumeration System. The contents of Robert P Gordon Md Sc are for informational purposes only.