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Organization

ROBERT P GORDON MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT P GORDON MD (PRESIDENT)
(312) 922-6067
Entity
Organization

Contact information

Practice address
122 S MICHIGAN AVE, SUITE 1300, CHICAGO, IL 60603-6191
(312) 922-6067
(773) 751-2250
Mailing address
122 S MICHIGAN AVE, SUITE 1300, CHICAGO, IL 60603-6191
(312) 922-6067
(773) 751-2250

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036049215
IL

Other

Enumeration date
11/30/2013
Last updated
11/30/2013
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