Dmitri Gordon

NPI #1518216191 in Chicago, Illinois

Provider Information

NPI Number: 1518216191
Entity Type: Individual
Name: Dmitri Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Acute Care Hospital
Enumeration Date: Aug 29, 2012
Last Updated: Aug 29, 2012

Practice Location

Address: 820 S DAMEN ST
City: Chicago
State: Illinois
ZIP Code: 60612
Phone: (312) 250-5459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X	Primary

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