Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TALIA SIVAN GORDON
Active Sole ProprietorTALIA SIVAN GORDON is a Physician Assistant healthcare provider located in HOFFMAN ESTATES, Illinois. NPI 1093344178 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HOFFMAN ESTATES, IL
Registration Details
- NPI Number
- 1093344178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2020 (6.3240617667117 yrs)
- Last Updated
- Nov 14, 2022
- Licenses
-
023491 (NY)085009132 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 W HIGGINS RD STE 1040HOFFMAN ESTATES, IL, 601692049Browse IL providers · Browse ZIP 60169
- Phone
- 8478848096
- Fax
- 8474900978
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HOFFMAN ESTATES, IL
| Name | Credential | NPI |
|---|---|---|
| GEENA JAMES MAKIL | PA | 1184641144 |
| MS. ISABELLE KRISTEN BADILLO | PA | 1952492829 |
| MICHAEL FREDERICK GRAF | PA-C | 1003908070 |
| AVNI PATEL | PA-C | 1811054620 |
| TRAVIS R SMITH | PA-C | 1619176021 |
| KRISTA R MOHAMED | PA-C | 1215250675 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.