Individual
DR. KEITH GORDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 RANDALL RD, STE 309, GENEVA, IL 60134-4209
(630) 232-0202
(630) 232-0479
Mailing address
302 RANDALL RD, GENEVA, IL 60134-4209
(630) 232-0202
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036072678
IL
207RP1001X
Pulmonary Disease Physician
Primary
036072678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072678
—
IL
01
—
1615809
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/28/2005
Last updated
12/29/2014
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