Organization
ILLINOIS PROFESSIONALS HEALTH PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA LEE GORDON MD (MEMBER MANAGER)
(847) 892-7910
Entity
Organization
Contact information
Practice address
701 LEE ST STE 125, DES PLAINES, IL 60016-4539
(847) 892-7910
(847) 892-7911
Mailing address
701 LEE ST STE 125, DES PLAINES, IL 60016-4539
(847) 892-7910
(847) 892-7911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
05/23/2023
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