Neal J Gordon is a Psychologist in Northbrook, Illinois. Neal J Gordon practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Neal J Gordon is 1235169335. The last update date is 2007-07-08.
Neal J Gordon's current location address is 4105 Rutgers Ln, Northbrook, Illinois. You can contact this provider via phone number 8477141164 and fax number 8477141165. The mailing address for Neal J Gordon is 4105 Rutgers Ln, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Neal J Gordon |
|---|---|
| Address | 4105 Rutgers Ln, Northbrook, Illinois |
| Phone Number | 8477141164 |
| Fax Number | 8477141165 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1235169335 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4105 Rutgers Ln |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600622911 |
| Phone Number | 8477141164 |
| Fax Number | 8477141165 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 071-002067 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2272834 | IL | BLUECROSS PREFERRED PROV. |
Post Comment/ Review Below
What is the unique identification code assigned to Neal J Gordon by the Centers for Medicare & Medicaid Services?
The Neal J Gordon has been issued the NPI (National Provider Identifier) 1235169335. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Neal J Gordon?
The Neal J Gordon is situated at 4105 Rutgers Ln, in the city of Northbrook, state of IL, with the zip code 600622911.
What is Neal J Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Neal J Gordon is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date was the 1235169335 assigned to Neal J Gordon?
The Neal J Gordon was issued its 1235169335 on 2006-07-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Neal J Gordon most recently updated or refreshed?
The details pertaining to the Neal J Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.