Michael Gordon

NPI #1881314219 in Niles, Illinois

Provider Information

NPI Number: 1881314219
Entity Type: Individual
Name: Michael Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Aug 29, 2022
Last Updated: Aug 29, 2022

Practice Location

Address: 9401 N HAMLIN AVE
City: Niles
State: Illinois
ZIP Code: 60714-5869
Phone: (847) 493-8669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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