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Individual

ANDREW ALDEEN GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
835 S WOLCOTT AVE, E-144B, CHICAGO, IL 60612-3748
(312) 996-7420
Mailing address
739 S CLAREMONT AVE, APT. 1, CHICAGO, IL 60612-3516
(646) 209-3290

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
036.132171
IL
2083X0100X
Occupational Medicine Physician
ME 122670
FL

Other

Enumeration date
06/11/2011
Last updated
04/22/2015
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