| Hilton M Gordon Md Sc | |
|
930 Brand Ln Deerfield IL 60015-3404 | |
| (630) 241-1495 | |
| (630) 241-1543 |
| Full Name | Hilton M Gordon Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 930 Brand Ln, Deerfield, Illinois |
| Authorized Official Name and Position | Hilton M Gordon (OWNER/PROVIDER) |
| Authorized Official Contact | 6302411495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hilton M Gordon Md Sc 930 Brand Ln Deerfield IL 60015-3404 Ph: (630) 241-1495 | Hilton M Gordon Md Sc 930 Brand Ln Deerfield IL 60015-3404 Ph: (630) 241-1495 |
| NPI Number | 1558670885 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/05/2010 |
| Medicare PECOS PAC ID | 5294918934 |
|---|---|
| Medicare Enrollment ID | O20110317000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558670885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036066534 (Illinois) | Primary |
| Provider Name | Hilton M Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588684674 PECOS PAC ID: 8729261466 Enrollment ID: I20110317000873 |
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