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Individual

MR. ZANU GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
S.S.P

Contact information

Practice address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1800
Mailing address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1800

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2453303
ISBE
IL
Enumeration date
12/01/2021
Last updated
12/01/2021
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