Organization
NEAL J GORDON EDD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL GORDON (PRESIDENT)
(847) 668-1164
Entity
Organization
Contact information
Practice address
4105 RUTGERS LN, NORTHBROOK, IL 60062-2911
(708) 383-4671
Mailing address
4105 RUTGERS LN, NORTHBROOK, IL 60062-2911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.002067
IL
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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