Gordon, Joe

Gordon, Joe is an sole proprietor health care provider with primary practice located at 514 N Western Ave , Lake Forest IL 60045-1989. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Gordon, Joe can be contacted via phone (847) 482-1900.

Contact Information

Primary practice address
514 N Western Ave Lake Forest IL 60045-1989
Phone: (847) 482-1900
Fax: (847) 482-1909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Illinois

Profile Details

NPI number 1124199468
LBN Legal business name Gordon, Joe
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Jul 8th, 2007 - about 19 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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