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Individual

ANNE M GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041503529
IL
163W00000X
Registered Nurse
95195048
CA
163W00000X
Registered Nurse
RN2310538
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
209022963
IL
363LP2300X
Primary Care Nurse Practitioner
RN2310538
MA

Other

Enumeration date
07/11/2021
Last updated
03/21/2022
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