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Michael Gordon

NPI 1275981805 · on the registry since 2016

Practice

Address
659 E Jefferson St
Freeport, IL 61032
Phone
(815) 229-1999
Fax
(708) 478-6387
Organisation at this address
Presence Life Connections
Citadel At Saint Joseph Village Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-24

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