Organization
GORDON HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE GORDON PHARMD (EXECUTIVE DIRECTOR)
(850) 294-8948
Entity
Organization
Contact information
Practice address
106 CENTER ST, GRAYSLAKE, IL 60030-1533
(850) 294-8948
Mailing address
1282 CHESTERFIELD LN, GRAYSLAKE, IL 60030-3797
(850) 294-8948
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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