Robert P Gordon MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036049215 Issued in IL

Legal business name

ROBERT P GORDON MD SC

Practice address

122 S Michigan Ave
Suite 1300
Chicago, IL 60603-6191

Phone

(312) 922-6067

Fax

(773) 751-2250

NPI assigned

Nov 30, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert P Gordon, MD

Title

President

Phone

(312) 922-6067

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385769600000",
    "number": "1174954291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE",
            "address_2": "SUITE 1300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036191",
            "telephone_number": "312-922-6067",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE",
            "address_2": "SUITE 1300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036191",
            "telephone_number": "312-922-6067",
            "fax_number": "773-751-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P GORDON MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-30",
        "last_updated": "2013-11-30",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-922-6067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036049215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert O Graham MDSC
• Robert O Isaacs, M D LTD
• Robert O. McCarthy MD SC
• Robert O. Stensland & Assoc. Inc.
• Robert Owens MD Corporation
• Robert S Glick DPM PC
• Robert S. Goldberg, MD, SC
• Robert S. Salk D.D.S. Jack a. Marks D.D.S. L.T.D.
• Robert Slott MD PC
• Robert W. Buchanan, M.D. S.C.

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.