DR. M.D. Paul James Gordon, NPI 1356341994
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Chicago Ridge, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1356341994
NPI Entity Type Individual
Provider Name DR. M.D. Paul James Gordon
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 10604 Southwest Hwy Ste 101, Chicago Ridge, IL, US
Provider Mailing Address 10604 Southwest Hwy Ste 101, Chicago Ridge, IL, US, 604152704
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208G00000X

Taxonomy Name Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Group

Allopathic & Osteopathic Physicians

License No. 036095321
License State IL
Description A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Business Address

DR. M.D. Paul James Gordon
10604 Southwest Hwy Ste 101

Chicago Ridge, IL, US

Phone: 708-346-4065
Fax: 708-423-5799

Mailing Address

DR. M.D. Paul James Gordon
10604 Southwest Hwy Ste 101
Chicago Ridge, IL, US
ZIP 604152704
Phone: 708-346-4065
Fax: 708-423-5799

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208G00000X

Allopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

01046920A IN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
036095321 IL MEDICAID 05
200144230F IN MEDICAID 05
200144230C IN MEDICAID 05
1356341994 MI MEDICAID 05
200144230A IN MEDICAID 05
200144230B IN MEDICAID 05

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Julieanne Pojas, Psy.d. & Associates Pllc

Organization

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