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1790132959
JASON R GORDON
CHICAGO, IL
NPI
1790132959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036148761)
Enumeration Date
2016-05-18
Last Update Date
2019-04-23
Business Address
JASON R GORDON MD
7435 W TALCOTT AVE
CHICAGO, IL 60631-3707
Phone number: 773-792-7921
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Mailing Address
JASON R GORDON MD
7435 W TALCOTT AVE
CHICAGO, IL 60631-3707
Phone number:
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