Individual
DR. PAUL JAMES GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10604 SOUTHWEST HWY STE 101, CHICAGO RIDGE, IL 60415
(708) 346-4065
(708) 423-5799
Mailing address
10604 SOUTHWEST HWY STE 101, CHICAGO RIDGE, IL 60415-2704
(708) 346-4065
(708) 423-5799
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01046920A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036095321
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095321
—
IL
05
—
1356341994
—
MI
05
—
200144230A
—
IN
05
—
200144230B
—
IN
05
—
200144230C
—
IN
05
—
200144230F
—
IN
Enumeration date
07/26/2005
Last updated
08/05/2025
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