Search › Illinois › 101YP2500X
Leslie Gordon
NPI 1790131225 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1071 W 15th St Unit 147
Chicago, IL 60608 - Phone
- (312) 375-1774
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-13
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