Individual
DR. KEYA M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
225 W HUBBARD ST STE 302, CHICAGO, IL 60654-4916
(615) 818-6976
Mailing address
16101 WEBER RD, CREST HILL, IL 60403-8812
(615) 818-6976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.13385
IL
Other
Enumeration date
07/08/2019
Last updated
06/18/2020
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