| NPI | 1447410139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY G GORDON President 773-445-3337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023383) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-02-18 |