Individual
DR. AYO HENRY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 E. 51ST. STREET, CHICAGO, IL 60615
(773) 318-7704
Mailing address
4730 S PRAIRIE AVE, CHICAGO, IL 60615-1206
(773) 548-6761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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