Organization
HILTON GORDON MD
Active
Organization
HILTON GORDON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILTON GORDON MD (OWNER)
(630) 241-1495
Entity
Organization
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(630) 241-1495
(630) 241-1543
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(630) 241-1495
(630) 241-1543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036066534
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066534
—
IL
Enumeration date
06/22/2007
Last updated
06/16/2008
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