Gordin Medical Center
Clinic/Center in Wheeling, IL. Organization (NPI-2).
NPI number1679666820
StatusActive
Last updated in NPPESJan 12, 2009
Details
- NPI
- 1679666820
- Entity type
- Organization (NPI-2)
- Legal business name
- Gordin Medical Center
- Organization subpart
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Jan 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 042-618618 | IL | Yes |
| 111N00000X | Chiropractor | 038009488 | IL | |
| 207R00000X | Internal Medicine | 036109468 | IL |
Practice location
350 East Dundee RoadSuite 300
Wheeling, IL 60090-3119
Phone 847-243-2110 · Fax 847-243-2118
Mailing address
6880 Greenwood RoadNorthbrook, IL 60062
Phone 847-243-2110 · Fax 847-243-2118
Authorized official
Vladimir Gordin
President
8472432110
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