Michael Gordon

NPI #1275981805 in Freeport, Illinois

Provider Information

NPI Number: 1275981805
Entity Type: Individual
Name: Michael Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: May 24, 2016
Last Updated: May 24, 2016

Practice Location

Address: 659 E JEFFERSON ST
City: Freeport
State: Illinois
ZIP Code: 61032-6027
Phone: (815) 229-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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