Dawnelle Marie-Varg Gordon in Chicago - Psychiatric/mental Health
Dawnelle Marie-Varg Gordon - NPI 1780647586
Dawnelle Marie-Varg Gordon is a Psychiatric/mental Health in Chicago, Illinois. Dawnelle Marie-Varg Gordon practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Dawnelle Marie-Varg Gordon is 1780647586. The last update date is 2022-04-05.
Dawnelle Marie-Varg Gordon's current location address is 2150 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 3129425375. The mailing address for Dawnelle Marie-Varg Gordon is 2150 W Harrison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dawnelle Marie-Varg Gordon |
|---|---|
| Address | 2150 W Harrison St, Chicago, Illinois |
| Phone Number | 3129425375 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PMHNP-BC, |
NPI Number Detail
| NPI Number | 1780647586 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | 2150 W Harrison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123706 |
| Phone Number | 3129425375 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 209005943 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11851721 | IA | CAQH |
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What is the unique 10-digit identifier code issued to Dawnelle Marie-Varg Gordon by the Centers for Medicare & Medicaid Services?
The Dawnelle Marie-Varg Gordon has been assigned the NPI (National Provider Identifier) 1780647586 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Dawnelle Marie-Varg Gordon's physical address?
The Dawnelle Marie-Varg Gordon is physically located at 2150 W Harrison St, in the city of Chicago, IL, with the postal code 606123706.
What is Dawnelle Marie-Varg Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dawnelle Marie-Varg Gordon's area of specialization is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780647586 to Dawnelle Marie-Varg Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1780647586 to Dawnelle Marie-Varg Gordon on 2006-04-11.
When was the information pertaining to Dawnelle Marie-Varg Gordon most recently updated or revised?
The details related to Dawnelle Marie-Varg Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-05.
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