Individual
AMANDA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2516 WAUKEGAN RD, SUITE 115, GLENVIEW, IL 60025-1774
(267) 226-7428
Mailing address
2516 WAUKEGAN RD, SUITE 115, GLENVIEW, IL 60025-1774
(267) 226-7428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006707
IL
Other
Enumeration date
02/02/2016
Last updated
02/23/2016
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