Gordon Health Foundation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GORDON HEALTH FOUNDATION

Practice address

106 Center St
Grayslake, IL 60030-1533

Phone

(850) 294-8948

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Gordon, PHARMD

Title

Executive Director

Phone

(850) 294-8948

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1356053227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 CHESTERFIELD LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303797",
            "telephone_number": "850-294-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CENTER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301533",
            "telephone_number": "850-294-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-294-8948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.