Active NPI
Gordon Health Inc
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1245040799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GORDON HEALTH INC
- Practice address
- 1437 W Grand Ave Apt 1S
Chicago, IL 60642-6318 - Phone
- (847) 650-7235
- NPI assigned
- Jan 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyssa Dale Gordon, DNP
- Title
- President
- Phone
- (847) 650-7235
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
1437 W Grand Ave Apt 1S
Chicago, IL 60642-6318
Mailing address
PO Box 221105
Chicago, IL 60622-0008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1679247993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1245040799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606220008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 W GRAND AVE APT 1S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606426318",
"telephone_number": "847-650-7235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "ALYSSA",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-650-7235",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.