Gregory S Gordon in Olympia Fields - Emergency Medicine
Gregory S Gordon - NPI 1235124777
Gregory S Gordon is a Emergency Medicine in Olympia Fields, Illinois. Gregory S Gordon practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Gregory S Gordon is 1235124777. The last update date is 2019-08-01.
Gregory S Gordon's current location address is 20021 Mohawk Trl, Olympia Fields, Illinois. You can contact this provider via phone number 7084816894 and fax number 7084814018. The mailing address for Gregory S Gordon is 20021 Mohawk Trl, Olympia Fields, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory S Gordon |
|---|---|
| Address | 20021 Mohawk Trl, Olympia Fields, Illinois |
| Phone Number | 7084816894 |
| Fax Number | 7084814018 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235124777 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2019-08-01 |
Provider Mailing Address Detail
| Address | 20021 Mohawk Trl |
|---|---|
| City | Olympia Fields |
| State | Illinois (IL) |
| Post Code | 604611125 |
| Phone Number | 7084816894 |
| Fax Number | 7084814018 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 1038358 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100365270 | IN | -- |
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What is the Gregory S Gordon's area of specialization and corresponding taxonomy classification?
The Gregory S Gordon's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
What is Gregory S Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gregory S Gordon is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.
When did the Gregory S Gordon receive its 1235124777?
The Gregory S Gordon was issued its 1235124777 on 2005-09-12, which is the date when the organization was assigned this unique identifier.
On what date did the Gregory S Gordon receive its 1235124777 assignment from the Centers for Medicare & Medicaid Services?
The Gregory S Gordon was assigned its 1235124777 by the Centers for Medicare & Medicaid Services on 2005-09-12.
As of what date were the Gregory S Gordon's details last updated?
The information pertaining to the Gregory S Gordon, including its address, specialty, and other details, was most recently updated on 2019-08-01.