Michael Gordon

School Psychologist · Niles, IL

Individual Active NPI

NPI number 1881314219

Practice location

9401 N Hamlin Ave
Niles, IL 60714-5869
Phone
(847) 493-8669

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NPI record

NPI
1881314219
Entity type
Individual (Type 1)
Enumeration date
August 29, 2022
Last updated
August 29, 2022
Certified
August 27, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
School Psychologist Primary 103TS0200X 402651 IL

Mailing address

3807 Greenwood St
Skokie, IL 60076-1939
Phone
(773) 428-0275

About Michael Gordon

Michael Gordon is a healthcare provider registered in the NPI registry with the primary taxonomy School Psychologist (code 103TS0200X). The practice location is 9401 N Hamlin Ave, Niles, IL 60714-5869. The NPI number 1881314219 was assigned on August 29, 2022 and the record was last updated on August 29, 2022.

Michael Gordon lists a license in the registry: #402651 (IL) for School Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Gordon?

The NPI number is 1881314219.

What is the phone number of Michael Gordon?

The phone number listed for the practice location is (847) 493-8669.

Where is Michael Gordon located?

9401 N Hamlin Ave, Niles, IL 60714-5869.

What is the taxonomy code for Michael Gordon?

The primary taxonomy code is 103TS0200X – School Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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