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1750735510
JACK GORDON
NORTH CHICAGO, IL
NPI
1750735510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018407)
Enumeration Date
2016-04-19
Last Update Date
2016-04-19
Business Address
-- JACK GORDON LCSW
3001 GREEN BAY RD BUILDING 66
NORTH CHICAGO, IL 60064-3048
Phone number: 224-475-1279
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Mailing Address
-- JACK GORDON LCSW
3001 GREEN BAY RD BUILDING 66
NORTH CHICAGO, IL 60064-3048
Phone number: 224-475-1279
Copy
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