Organization
ELAINE GORDON WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE GORDON LCSW (OWNER)
(312) 543-6436
Entity
Organization
Contact information
Practice address
233 E ERIE ST, SUITE 205A, CHICAGO, IL 60611-2926
(312) 379-9449
(312) 809-8070
Mailing address
900 N MICHIGAN AVENUE, SUITE #1800, CHICAGO, IL 60611
(312) 379-9449
(312) 809-8070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27656
IL
1041C0700X
Clinical Social Worker
Primary
149.014232
IL
Other
Enumeration date
09/25/2014
Last updated
02/21/2022
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