Stephen Jerome Gordon in Chicago - General Practice

Stephen Jerome Gordon - NPI 1114954146

Stephen Jerome Gordon is a General Practice in Chicago, Illinois. Stephen Jerome Gordon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Jerome Gordon is 1114954146. The last update date is 2010-02-04.

Stephen Jerome Gordon's current location address is 8 South Michigan Avenue, Chicago, Illinois. You can contact this provider via phone number 3127509000 and fax number 3127509100. The mailing address for Stephen Jerome Gordon is 8 South Michigan Avenue, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Jerome Gordon
Address 8 South Michigan Avenue, Chicago, Illinois
Phone Number 3127509000
Fax Number 3127509100
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1114954146
Provider Enumeration Date 2006-06-26
Last Updated Date 2010-02-04

Provider Mailing Address Detail

Address 8 South Michigan Avenue
City Chicago
State Illinois (IL)
Post Code 606033357
Phone Number 3127509000
Fax Number 3127509100

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19016354
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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FAQs about Stephen Jerome Gordon

What is the unique 10-digit identification code issued to Stephen Jerome Gordon by the Centers for Medicare & Medicaid Services?

The Stephen Jerome Gordon has been assigned the NPI (National Provider Identifier) 1114954146 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Stephen Jerome Gordon is located?

The Stephen Jerome Gordon is situated at the following address: 8 South Michigan Avenue, Chicago, IL, 606033357.

What is Stephen Jerome Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stephen Jerome Gordon is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did Stephen Jerome Gordon receive its 1114954146 assignment?

The Stephen Jerome Gordon was assigned its 1114954146 on 2006-06-26, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Stephen Jerome Gordon most recently updated or revised?

The details related to Stephen Jerome Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-04.

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