Individual
LAURENCE R GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
339 E GRAND AVE, CHICAGO, IL 60611-3312
(773) 702-6840
(773) 795-7720
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036107531
IL
Other
Enumeration date
07/20/2006
Last updated
10/01/2024
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