Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

As Gordon Enterprise LLC

Organization Clinic/Center · NPI 1336884659

As Gordon Enterprise LLC is a Clinic/Center in Grayslake, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

102 Center St
Grayslake, IL 60030-1533
Phone: (904) 477-3853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1336884659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Averill Gordon — Owner/ President · (904) 477-3853
NPI enumeratedMay 2, 2022
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022
Mailing address1282 Chesterfield Ln, Grayslake, IL 60030-3797

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