Gregory S Gordon in Olympia Fields - Internal Medicine
Gregory S Gordon - NPI 1235124777
Gregory S Gordon is a Internal Medicine in Olympia Fields, Illinois. Gregory S Gordon practices all healthcare services and medical treatments related to Internal 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 |
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Address | 20021 Mohawk Trl, Olympia Fields, Illinois |
Phone Number | 7084816894 |
Fax Number | 7084814018 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1235124777 |
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Provider Enumeration Date | 2005-09-12 |
Last Updated Date | 2019-08-01 |
Provider Mailing Address Detail
Address | 20021 Mohawk Trl |
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City | Olympia Fields |
State | Illinois (IL) |
Post Code | 604611125 |
Phone Number | 7084816894 |
Fax Number | 7084814018 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 1038358 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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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 Internal Medicine, and it falls under the taxonomy code 207R00000X, 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 Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
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.