Illinois Professionals Health Program, LLC
NPI #1760907133 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1760907133
- Entity Type
- Organization
- Organization Name
- Illinois Professionals Health Program, LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 7, 2017
- Last Updated
- May 23, 2023
Practice Location
- Address
- 701 LEE ST STE 125
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-4539
- Phone
- (847) 892-7910
Authorized Official
- Name
- DR. CYNTHIA LEE GORDON, MD
- Title
- MEMBER MANAGER
- Phone
- (847) 892-7910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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