Individual
MR. MATTHEW WOODS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Mailing address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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