MICHAEL EDWARD GORDON

EVANSTON, IL
NPI1821042433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  1916382)
Enumeration Date2006-05-19
Last Update Date2015-12-02
Business Address
Dr. MICHAEL EDWARD GORDON DDS
635 CHICAGO AVE
EVANSTON, IL 60202
Phone number: 847-491-0880
Mailing Address
Dr. MICHAEL EDWARD GORDON DDS
1841 W 47TH ST
CHICAGO, IL 60609-3844
Phone number: 847-491-0880
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