Laurie Sue Gordon in Blue Island - General Practice
Laurie Sue Gordon - NPI 1457546848
Laurie Sue Gordon is a General Practice in Blue Island, Illinois. Laurie Sue Gordon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Laurie Sue Gordon is 1457546848. The last update date is 2007-09-10.
Laurie Sue Gordon's current location address is 2310 York St, Blue Island, Illinois. You can contact this provider via phone number 7083880001 and fax number 7083887612. The mailing address for Laurie Sue Gordon is 2310 York St, Blue Island, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Sue Gordon |
|---|---|
| Address | 2310 York St, Blue Island, Illinois |
| Phone Number | 7083880001 |
| Fax Number | 7083887612 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457546848 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 2310 York St |
|---|---|
| City | Blue Island |
| State | Illinois (IL) |
| Post Code | 604062411 |
| Phone Number | 7083880001 |
| Fax Number | 7083887612 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19021721 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the Laurie Sue Gordon's unique identification number?
The Laurie Sue Gordon has been assigned the NPI (National Provider Identifier) Number 1457546848 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Laurie Sue Gordon is geographically located?
The Laurie Sue Gordon is physically situated at the following location: 2310 York St, Blue Island, IL, 604062411.
What is the Laurie Sue Gordon's specialty and taxonomy code?
The Laurie Sue Gordon's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Laurie Sue Gordon receive its 1457546848 assignment?
The Laurie Sue Gordon was assigned its 1457546848 on 2007-09-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Laurie Sue Gordon most recently updated or revised?
The information pertaining to Laurie Sue Gordon, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-10.
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