Brett Gordon

NPI 1538454491 · on the registry since 2011 · sole proprietor

Practice

Address: 7300 191st St
Tinley Park, IL 60487
Phone: (815) 806-3211
Fax: (815) 806-3221
Organisation at this address: Kieffer Vision Inc.
Highland Park Cvs Llc
Luxottica Of America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-06-17

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