Ayo Henry Gordon is a Chiropractor in Chicago, Illinois. Ayo Henry Gordon practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ayo Henry Gordon is 1649393794. The last update date is 2007-07-08.
Ayo Henry Gordon's current location address is 4730 S Prairie Ave, Chicago, Illinois. You can contact this provider via phone number 7735486761. The mailing address for Ayo Henry Gordon is 4730 S Prairie Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ayo Henry Gordon |
|---|---|
| Address | 4730 S Prairie Ave, Chicago, Illinois |
| Phone Number | 7735486761 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1649393794 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4730 S Prairie Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606151206 |
| Phone Number | 7735486761 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identifier code issued to Ayo Henry Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The Ayo Henry Gordon has been assigned the NPI (National Provider Identifier) 1649393794. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Ayo Henry Gordon located?
The Ayo Henry Gordon is located at 4730 S Prairie Ave, Chicago, IL 606151206.
What is the Ayo Henry Gordon's specialty and taxonomy code?
The Ayo Henry Gordon's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When was the Ayo Henry Gordon's 1649393794 issued?
The Ayo Henry Gordon's 1649393794 was issued on 2007-04-06.
As of what date were the Ayo Henry Gordon's details last updated?
The information pertaining to the Ayo Henry Gordon, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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