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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEN GORDON CENTER

Active Organization

BEN GORDON CENTER is a Preferred Provider Organization organization located in DEKALB, Illinois. NPI 1164802922 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · DEKALB, IL

Registration Details

NPI Number
1164802922
Provider Type
Organization
NPI Issued
Jun 5, 2015 (11.210569239929 yrs)
Last Updated
Jul 14, 2015
License
149017667 (IL)

Practice Information

Address
631 S 1ST ST
DEKALB, IL, 601154117
Browse IL providers · Browse ZIP 60115
Phone
8157568501
Fax
8157565849
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.