Individual
MARK J GORDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BISTERFIELD ROAD, ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE, IL 60007
(847) 437-5500
(630) 734-1560
Mailing address
PO BOX 87904, MEA ELK GROVE LLC DEP 2049, CAROL STREAM, IL 60188
(630) 734-0200
(630) 734-1560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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