JACK GORDON

NORTH CHICAGO, IL
NPI1750735510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149018407)
Enumeration Date2016-04-19
Last Update Date2016-04-19
Business Address
-- JACK GORDON LCSW
3001 GREEN BAY RD BUILDING 66
NORTH CHICAGO, IL 60064-3048
Phone number: 224-475-1279
Mailing Address
-- JACK GORDON LCSW
3001 GREEN BAY RD BUILDING 66
NORTH CHICAGO, IL 60064-3048
Phone number: 224-475-1279