DMITRI GORDON

CHICAGO, IL
NPI1518216191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: IL  051.295990)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- DMITRI GORDON
820 S DAMEN ST
CHICAGO, IL 60612
Phone number: 312-250-5459
Mailing Address
-- DMITRI GORDON
2639 W CORTEZ UNIT 1
CHICAGO, IL 60622
Phone number:
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