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Search › Illinois › General Practice Dentistry

Michael Gordon, DDS

NPI 1821042433 · on the registry since 2006 · sole proprietor

Practice

Address
635 Chicago Ave
Evanston, IL 60202
Phone
(847) 491-0880
Fax
(847) 491-0014
Organisation at this address
Walgreen Co
Diana L Haskins
For Eyes Optical Of Pa
Luxottica Of America Inc
Status Post Surgical Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-02

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