MARY N GORDON (NPI# 1972521367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972521367 |
| Entity Type | Individual |
| Full Name | MARY N GORDON |
| Credential | DO |
| Practice Address |
151 W High St Lowr Level Morris IL 60450-1407 |
| Mailing Address |
725 School St Ste A Morris IL 60450-1207 |
| Practice Telephone | 8157051000 |
| Practice Fax Number | 8157052709 |
| Mailing Telephone | 8159419124 |
| Mailing Fax Number | 8159414363 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-106941 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036106941 | 05 | |
| IL | LICENSE | 036.106941 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942405873 | Mary Ellen Gordon | Orthotic Fitter | 514 N Brightleaf Blvd Ste 1202, Smithfield, NC 27577-4486 | 2007-06-20 |
| 1548395031 | Mary Elizabeth Gordon | Psychologist | 285 South Perry St, Lawrenceville, GA 30045 | 2007-02-23 |
| 1316012784 | Mary Elaine Gordon | Marriage & Family Therapist | 3 Williamsburg Ln, Chico, CA 95926 | 2006-11-21 |
| 1386206555 | Mary Inez Gordon | Behavior Technician | 150 Glen Cove Marina Rd E, Vallejo, CA 94591-7292 | 2019-07-08 |
| 1164831608 | Mary Gordon | Clinical Nurse Specialist | 6621 Fannin St, Houston, TX 77030-2358 | 2014-08-08 |
| 1457699886 | Mary Ann Gordon | Counselor | 815 Flack Ave, Alliance, NE 69301-2722 | 2013-01-18 |
| 1235401613 | Mary Loray Gordon | Registered Nurse | 4750 Wesley Ave, Cincinnati, OH 45212-2244 | 2012-02-01 |
| 1235446261 | Mary Kathleen Gordon | Occupational Therapist | 1051 W South St, Kewanee, IL 61443-8354 | 2010-09-13 |
| 1275686495 | Mary N. Gordon | Nutritionist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2007-01-19 |
| 1134224520 | Mary E Gordon | Pediatrics | Children's Hospital, 300 Longwood Ave, Brookline, MA 02115 | 2006-09-13 |
| Street Address |
151 W HIGH ST LOWR LEVEL |
| City | MORRIS |
| State | IL |
| Zip Code | 60450-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437214947 | Sunil Chandrasinh Shroff | Internal Medicine | 1802 N Division St Ste 701, Morris, IL 60450-3120 | 2006-12-26 |
| 1639348881 | Athar Muhammad Saeed | Internal Medicine | 151 W High St, Lower Level, Morris, IL 60450-1407 | 2008-02-21 |
| 1134177447 | Aristides Delahera | Internal Medicine | 1802 N Division St, Suite 605, Morris, IL 60450-1182 | 2006-05-05 |
| 1053393439 | Syed M Ahmed | Internal Medicine | 151 W High St, Lower Level, Morris, IL 60450-1407 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
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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.