Individual
DR. GORDON C NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2350 ROYAL BLVD, SUITE 100, ELGIN, IL 60123-4719
(847) 695-8100
(847) 695-6808
Mailing address
2350 ROYAL BLVD, SUITE 100, ELGIN, IL 60123-4719
(847) 695-8100
(847) 695-6808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097435
—
IL
Enumeration date
12/19/2006
Last updated
12/29/2021
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