Individual
MS. ALICE HODGSON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
2550 N. ANNIE GLIDDEN RD, FAMILY PLANNING CLINIC, DEKALB, IL 60115-1207
(815) 748-2420
(815) 748-2478
Mailing address
31189 E. 300 NORTH RD, STRAWN, IL 61775-4095
(815) 688-3008
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209001374
IL
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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