Michael Gordon
Michael Gordon is a Community Health Worker in Freeport, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
659 E Jefferson StFreeport, IL 61032-6027
Phone: (815) 229-1999
Fax: (708) 478-6387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence ADS1101002 (IL) |
|---|
Record details
| NPI number | 1275981805 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 24, 2016 |
| Last updated in NPPES | May 24, 2016 |
| Mailing address | 659 E Jefferson St, Freeport, IL 61032-6027 |
Other providers in Freeport
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18 W Stephenson St, Freeport, IL 61032-4263 · (903) 490-4367