Individual
STANISLAV GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 E FAWN LN UNIT C, PALATINE, IL 60074-3937
(847) 528-0161
Mailing address
503 E FAWN LN UNIT C, PALATINE, IL 60074-3937
(847) 528-0161
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
IL
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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