Individual
JEFFREY B GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(847) 381-9600
Mailing address
PO BOX 98, TRI-COUNTY EMERGENCY PHYSICIANS, BARRINGTON, IL 60010
(616) 975-1845
(616) 975-1870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036085143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085143
—
IL
01
—
P00645039
RAILROAD MEDICARE
IL
Enumeration date
05/31/2006
Last updated
07/27/2009
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