Organization
GORDON HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA DALE GORDON DNP (PRESIDENT)
(847) 650-7235
Entity
Organization
Contact information
Practice address
1437 W GRAND AVE APT 1S, CHICAGO, IL 60642-6318
(847) 650-7235
Mailing address
PO BOX 221105, CHICAGO, IL 60622-0008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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