Gordon, Dawnelle Marie-Vargas

Gordon, Dawnelle Marie-Vargas is an sole proprietor health care provider with primary practice located at 2150 W Harrison St , Chicago IL 60612-3706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gordon, Dawnelle Marie-Vargas can be contacted via phone (312) 942-5375.

Contact Information

Primary practice address
2150 W Harrison St Chicago IL 60612-3706
Phone: (312) 942-5375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209005943 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005943 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G-113375 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7345-33 Wisconsin

Profile Details

NPI number 1780647586
LBN Legal business name Gordon, Dawnelle Marie-Vargas
Credentials PMHNP-BC, ARNP, APNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Apr 5th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780647586 NPPES
Iowa Other 11851721 CAQH

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