1235169335 NPI number — DR. NEAL J GORDON ED.D.

Table of content: DR. NEAL J GORDON ED.D. (NPI 1235169335)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235169335 NPI number — DR. NEAL J GORDON ED.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GORDON
Provider First Name:
NEAL
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
ED.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235169335
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4105 RUTGERS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHBROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60062-2911
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-714-1164
Provider Business Mailing Address Fax Number:
847-714-1165

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
433 WISCONSIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAK PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60302-3688
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-383-4671
Provider Business Practice Location Address Fax Number:
847-714-1165
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  071-002067 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02272834 . This is a "BLUECROSS PREFERRED PROV." identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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