| Robert P Gordon Md Sc | |
|
122 S Michigan Ave Suite 1300 Chicago IL 60603-6191 | |
| (312) 922-6067 | |
| (773) 751-2250 |
| Full Name | Robert P Gordon Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 122 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Robert P Gordon (PRESIDENT) |
| Authorized Official Contact | 3129226067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert P Gordon Md Sc 122 S Michigan Ave Suite 1300 Chicago IL 60603-6191 Ph: (312) 922-6067 | Robert P Gordon Md Sc 122 S Michigan Ave Suite 1300 Chicago IL 60603-6191 Ph: (312) 922-6067 |
| NPI Number | 1174954291 |
|---|---|
| Provider Enumeration Date | 11/30/2013 |
| Last Update Date | 11/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174954291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036049215 (Illinois) | Primary |
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