Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AVERILL D GORDON, PHARM.D.
ActivePharmacist Clinician (PhC) · WAUKEGAN, IL
Registration Details
- NPI Number
- 1164419305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2005 (20.554830976664 yrs)
- Last Updated
- Feb 14, 2024
- Licenses
-
PS38857 (FL)051.294042 (IL)
Practice Information
- Address
-
2702 GRAND AVEWAUKEGAN, IL, 600852407Browse IL providers · Browse ZIP 60085
- Phone
- 2244413008
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Clinician (PhC) Providers in WAUKEGAN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. OCTAVIA DUNN | PHARMD | 1205345493 |
| DANIELLE CANDELARIO | PHARMD | 1144837758 |
| LEUART FAZLIU | PHARMD | 1083375349 |
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.