# GORDONO PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164437778
- **Authorized official:** JEFF BENDIX (PRESIDENT)
- **Authorized official phone:** (773) 561-3671

## Contact information

- **Practice address:** 5501 N CLARK ST, CHICAGO, IL 60640-1213
- **Practice address phone:** (773) 561-3671
- **Practice address fax:** (773) 728-1399
- **Mailing address:** 5501 N CLARK ST, CHICAGO, IL 60640-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | IL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1453480 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 363469572001 | — | IL |