Search › Illinois › 225100000X
Matthew Gordon
NPI 1710396494 · on the registry since 2014
Practice
- Address
- 2906 Crossing Ct
Champaign, IL 61822 - Phone
- (217) 398-9800
- Fax
- (217) 366-0037
- Organisation at this address
- Mettler Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Additional practice sites
- 5 Broadway Plz, Peru, IN
- 1805 E Hoffer St, Kokomo, IN
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-17
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