NPI 1013013937

Robert L. Gordon, MD

Practitioner Occupational Medicine Physician Jacksonville, IL

Practice location

Address: 901 W Morton Ave Suite 16a, Jacksonville, IL 62650-3145
Phone: (217) 479-9071
Mailing address: 1025 S 6th St, Springfield, IL 62703-2403

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 036-107500 (IL)

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Registry record

NPI: 1013013937
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2006
Record last updated: 11 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.