Gordon, James John

Gordon, James John is an individual health care provider with primary practice located at 10604 Southwest Hwy Ste 107 , Chicago Ridge IL 60415-2717. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Gordon, James John can be contacted via phone (708) 422-0636.

Contact Information

Primary practice address
10604 Southwest Hwy Ste 107 Chicago Ridge IL 60415-2717
Phone: (708) 422-0636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.029629 Illinois

Profile Details

NPI number 1972335024
LBN Legal business name Gordon, James John
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2024
Last updated Aug 16th, 2024 - about 2 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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