Search › Illinois › 1041C0700X
Bruce Gordon, LCSW
NPI 1942430160 · on the registry since 2009 · sole proprietor
Practice
- Address
- 778 Frontage Rd
Suite 115
Northfield, IL 60093 - Phone
- (312) 282-1200
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-22
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