Individual
MRS. BARBARA P GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 W 79TH ST, CHICAGO, IL 60652-2302
(773) 581-3572
(773) 581-4210
Mailing address
3920 W 79TH STREET, CHICAGO, IL 60652
(773) 581-3572
(773) 581-4210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051030329
IL
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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