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Search › Illinois › 152W00000X

Justin Gordon, OD

NPI 1366459711 · on the registry since 2006 · sole proprietor

Practice

Address
3143 W Devon Ave
Chicago, IL 60659
Phone
(773) 764-5300
Fax
(773) 764-2810
Organisation at this address
Family Care Dental Group, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-07-07

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