Gluckman, Gordon R
Gluckman, Gordon R is an individual health care provider with primary practice located at 1660 Feehanville Dr Ste 200 , Mount Prospect IL 60056-6036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gluckman, Gordon R can be contacted via phone (847) 823-3185.Contact Information
Primary practice address
1660 Feehanville Dr Ste 200
Mount Prospect IL 60056-6036
Phone: (847) 823-3185
Fax: (847) 823-3318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036090439 | Illinois |
Profile Details
| NPI number | 1366480170 |
|---|---|
| LBN Legal business name | Gluckman, Gordon R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Oct 31st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366480170 | NPPES |
| Illinois | MEDICAID | 036090439 |
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