Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL GORDON
ActiveMICHAEL GORDON is a Community Health Worker healthcare provider located in FREEPORT, Illinois. NPI 1275981805 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · FREEPORT, IL
Registration Details
- NPI Number
- 1275981805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2016 (10.26442687485 yrs)
- Last Updated
- May 24, 2016
- License
-
ADS1101002 (IL)
Practice Information
- Address
-
659 E JEFFERSON STFREEPORT, IL, 610326027Browse IL providers · Browse ZIP 61032
- Phone
- 8152291999
- Fax
- 7084786387
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in FREEPORT, IL
| Name | Credential | NPI |
|---|---|---|
| DANARO JERARD THOMAS | — | 1164297826 |
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.