DR. MICHAEL EDWARD GORDON (NPI# 1821042433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821042433 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD GORDON |
| Credential | DDS |
| Practice Address |
635 Chicago Ave Evanston IL 60202 |
| Mailing Address |
1841 W 47th St Chicago IL 60609-3844 |
| Practice Telephone | 8474910880 |
| Practice Fax Number | 8474910014 |
| Mailing Telephone | 8474910880 |
| Mailing Fax Number | 8474910014 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1916382 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1225562622 | Michael Don Gordon | Clinical Nurse Specialist | 373 Breezeel School Rd, Benton, KY 42025-5376 | 2017-04-12 |
| 1275981805 | Michael Gordon | Community Health Worker | 659 E Jefferson St, Freeport, IL 61032-6027 | 2016-05-24 |
| 1104263342 | Michael Adam Gordon | Specialist/Technologist | 3802 Isabella Ave, Cincinnati, OH 45209-2112 | 2013-05-29 |
| 1902961410 | Michael Gordon | Psychiatry & Neurology | 23 Knott Dr, Glen Cove, NY 11542-4116 | 2006-12-26 |
| 1851407027 | Michael Anthony Gordon | Dentist | 829 Main St, Schererville, IN 46375-1100 | 2006-08-21 |
| 1801807912 | Michael A Gordon | Optometrist | 3901 Nw 79th Ave Ste 105, Doral, FL 33166-6554 | 2006-08-11 |
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| 1316917123 | Michael W Gordon | Optometrist | 214 N. Bdwy, Spring Valley, MN 55975 | 2006-01-24 |
| Street Address |
635 CHICAGO AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653718 | For Eyes Optical of Pa | Optometrist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2019-01-14 |
| 1497169882 | William Edward Gordon | Dentist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2014-06-13 |
| 1700219185 | Rebecca Y Li | Pharmacist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2013-08-20 |
| 1326308941 | Diana L Haskins | Optometrist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2012-05-17 |
| 1316228356 | Sanjay J Gandhi | Pharmacist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2011-09-05 |
| 1407075831 | Status Post Surgical Services Inc. | Contractor | 635 Chicago Ave, Suite 203, Evanston, IL 60202-2365 | 2007-04-24 |
| 1922156553 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 635 Chicago Ave, Evanston, IL 60202-2365 | 2007-01-08 |
| 1972518108 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 635 Chicago Ave, Evanston, IL 60202-2365 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| 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 |
|---|---|---|---|---|
| 1245897586 | Nada Salem | Dentist | 820 Davis St Ste 460, Evanston, IL 60201-4447 | 2019-05-22 |
| 1952817298 | Webster Dental Care Evanston, Ltd | Dentist | 500 Davis St Ste 601, Evanston, IL 60201-4622 | 2017-12-22 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| 1689084642 | Margaret Ellen Buell | Dentist | 1601 Sherman Ave Ste 400, Evanston, IL 60201-5038 | 2014-04-30 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1164686457 | David Ricki Turok | Dentist | 500 Davis St Ste 510, Evanston, IL 60201-4621 | 2008-07-15 |
| 1881869279 | Robert Evan Lozoff | Dentist | 515 Sheridan Rd, 302, Evanston, IL 60202-4703 | 2008-04-25 |
| 1326245705 | Dental Health Care Ltd | Dentist | 2611 Broadway Ave, Evanston, IL 60201-1501 | 2007-06-29 |
| 1124238720 | Kathleen J. Curry | Dentist | 823 Chicago Ave, Evanston, IL 60202-2307 | 2007-05-23 |
| 1457573560 | Steven J Burt | Dentist | 1595 So Hwy 150, Building 107 Suite A, Evanston, WY 82930 | 2007-05-02 |
| Find all providers in EVANSTON | ||||
Please comment or provide details below to improve the information on DR. MICHAEL EDWARD GORDON.
| 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.