Individual
VICTOR R GORDEUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 S WOOD ST, SICKLE CELL CTR. SUITE 172, CLINICAL SCIENCES BUILDING, CHICAGO, IL 60612-4325
(312) 996-5680
(312) 996-5984
Mailing address
820 S WOOD ST, SICKLE CELL CTR. SUITE 172, CLINICAL SCIENCES BUILDING, CHICAGO, IL 60612-4325
(312) 996-5680
(312) 996-5984
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD20534
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028681600
—
DC
05
—
136321200
—
MD
05
—
5881943
—
VA
Enumeration date
12/13/2006
Last updated
07/27/2012
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