Individual
KATHERINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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
041536601
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209033989
IL
Other
Enumeration date
06/26/2023
Last updated
01/07/2026
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