Individual
JAMES JOHN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10604 SOUTHWEST HWY STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
Mailing address
10604 SOUTHWEST HWY STE 107, CHICAGO RIDGE, IL 60415-2717
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.029629
IL
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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