Gordon, Leo

Gordon, Leo is an individual health care provider with primary practice located at 675 N Saint Clair St Galter 21-100, Chicago IL 60611-5975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Gordon, Leo can be contacted via phone (312) 695-0990.

Contact Information

Primary practice address
675 N Saint Clair St Galter 21-100 Chicago IL 60611-5975
Phone: (312) 695-0990
Fax: (312) 695-6189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 036-050052 Illinois

Profile Details

NPI number 1821028499
LBN Legal business name Gordon, Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 16th, 2009 - about 16 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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