Individual
MISS CHRISTINA MARIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
924 N TAYLOR AVE, OAK PARK, IL 60302-1458
(708) 613-5666
Mailing address
924 N TAYLOR AVE, OAK PARK, IL 60302-1458
(708) 613-5666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041420283
IL
363LF0000X
Family Nurse Practitioner
Primary
209015429
IL
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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