Gordon, Matthew

Gordon, Matthew is an individual health care provider with primary practice located at 2906 Crossing Ct , Champaign IL 61822-6163. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gordon, Matthew can be contacted via phone (217) 398-9800.

Contact Information

Primary practice address
2906 Crossing Ct Champaign IL 61822-6163
Phone: (217) 398-9800
Fax: (217) 366-0037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05015791A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070020762 Illinois

Profile Details

NPI number 1710396494
LBN Legal business name Gordon, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2014
Last updated Oct 17th, 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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