Ben Gordon Center
Ben Gordon Center is a Preferred Provider Organization in Dekalb, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
631 S 1st StDekalb, IL 60115-4117
Phone: (815) 756-8501
Fax: (815) 756-5849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 149017667 (IL) |
|---|
Record details
| NPI number | 1164802922 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bettyjo Bieberitz — Contract Coordinator · (815) 756-4875 |
| NPI enumerated | June 5, 2015 |
| Last updated in NPPES | July 14, 2015 |
| Mailing address | 12 Health Services Dr, Dekalb, IL 60115-9637 |