SearchIllinoisSurgical Assistant

Kimberly Gordon, SURGICAL ASSISTANT

NPI 1245407709 · on the registry since 2008 · sole proprietor

Practice

Address
3002 Gill St Ste 3
Bloomington, IL 61704
Phone
(309) 846-4716
Organisation at this address
Medsource Llc
Elite Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Surgical Assistant
246ZC0007X
Sex
Female
Record last updated
2008-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois