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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 Mental Health Clinic organization located in MALTA, Illinois. NPI 1457654295 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · MALTA, IL

Registration Details

NPI Number
1457654295
Provider Type
Organization
NPI Issued
Dec 17, 2010 (15.646084826161 yrs)
Last Updated
Dec 17, 2010
License
A0254001A (IL)

Practice Information

Address
21193 MALTA RD
BLDG. A - U154
MALTA, IL, 601509600
Browse IL providers · Browse ZIP 60150
Phone
8157564875
Fax
8157562944
Primary Specialty
Mental Health Clinic
261QM0801X
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.