NPI 1073802229
Matthew Woods Gordon, BA
Practice location
- Address
- 405 Central Ave, Northfield, IL 60093-3006
- Phone
- (847) 441-5600
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1073802229
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Mar 2011
- Record last updated
- 28 Mar 2011
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.