DR. LAURIE SUE GORDON (NPI# 1457546848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457546848 |
| Entity Type | Individual |
| Full Name | DR. LAURIE SUE GORDON |
| Credential | DDS |
| Practice Address |
2310 York St 4b Blue Island IL 60406-2411 |
| Practice Telephone | 7083880001 |
| Practice Fax Number | 7083887612 |
| Mailing Telephone | 7083880001 |
| Mailing Fax Number | 7083887612 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019021721 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487993200 | Laurie Gordon | Occupational Therapist | 14 Litchult Ct, Airmont, NY 10901-7511 | 2013-02-14 |
| 1538453121 | Laurie Anne Gordon | Counselor | 1109 Hollow Pine Dr, Oviedo, FL 32765-6161 | 2011-06-01 |
| 1932251105 | Laurie E Gordon | Dentist | 31604 Green Meadow Ln, Warren, MI 48093-5589 | 2007-01-17 |
| 1720155930 | Laurie Elise Gordon | Psychiatry & Neurology | 14 E 4th St Apt 401, New York, NY 10012-1141 | 2006-11-30 |
| 1942387170 | Laurie R. Gordon | Social Worker | 4463 Cricket Ridge Dr Apt 202, 202, Holt, MI 48842-2933 | 2006-11-01 |
| 1952557423 | Laurie Gordon | Psychiatry & Neurology | 148 Chestnut St, Needham, MA 02492-2505 | 2008-08-15 |
| 1962594705 | Laurie Gordon | Pediatrics | 5645 Main St, Flushing, NY 11355-5045 | 2006-09-29 |
| 1174635759 | Laurie A Gordon | Internal Medicine | 51 Schuyler Ave, Stamford, CT 06902-3730 | 2006-08-31 |
| Street Address |
2310 YORK ST 4B |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477553188 | Robert Ethan Applebaum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2310 York St, Suite 3a, Blue Island, IL 60406-2411 | 2005-07-22 |
| 1013292457 | Rafiq Ahmed M.d., S.c. | Clinic/Center | 2310 York St, Suite 2b, Blue Island, IL 60406-2411 | 2011-10-17 |
| 1396074753 | Sa Padua Medical Center, LLC | Family Medicine | 2310 York St, Suite 2c, Blue Island, IL 60406-2411 | 2009-12-15 |
| 1528079977 | Neurodiagnostic Services Ltd | Psychiatry & Neurology | 2310 York St, #2c, Blue Island, IL 60406-2411 | 2006-08-11 |
| 1154343408 | Rafiq Ahmed | Internal Medicine | 2310 York St, Suite 2b, Blue Island, IL 60406-2411 | 2006-07-24 |
| 1851330302 | William W Ashley | Internal Medicine | 2310 York St, Blue Island, IL 60406-2411 | 2006-06-06 |
| 1831145325 | Newport Medical Associates, Ltd | Internal Medicine | 2310 York St, Blue Island, IL 60406-2411 | 2006-05-26 |
| 1972558757 | Hope Medical Sc | Internal Medicine | 2310 York St, Suite 3c, Blue Island, IL 60406-2411 | 2006-05-23 |
| 1598741050 | Theodore G James | Family Medicine | 2310 York St, Ste 2c, Blue Island, IL 60406-2411 | 2005-12-16 |
| 1336120807 | Gregorio M Tolentino Jr. | Radiology | 2310 York St, Suite M, Blue Island, IL 60406-2411 | 2005-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1710255831 | Bright Smile Family Dental | Dentist | 12601 Western Ave, Unit B, Blue Island, IL 60406-1749 | 2011-12-03 |
| 1154592145 | Dental Experts, LLC | Dentist | 12200 Western Ave Ste 108, Blue Island, IL 60406-1493 | 2008-03-18 |
| 1992280168 | Ahmed Sharaf | Dentist | 12200 Western Ave, Blue Island, IL 60406-1398 | 2018-10-03 |
| 1780170472 | Matt Yurchak | Dentist | 2320 Walnut St, Blue Island, IL 60406-2106 | 2018-07-05 |
| 1285806265 | Darlene Jo Buis | Dentist | 12200 Western Ave, #108, Blue Island, IL 60406-1398 | 2008-03-30 |
| 1487846234 | Colin M Haley | Dentist | 12200 Western Ave, Suite 108, Blue Island, IL 60406-1398 | 2007-08-15 |
| 1578699633 | Martin Francis Lowery | Dentist | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.