Jerry P Gore Center for Holistic Medicine LLC
Organization Active NPI General Practice Physician · Riverwoods, IL
NPI 1376653725 · NPPES record last updated May 16, 2012
Key facts
- NPI
- 1376653725
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 036053622 (IL)
- Legal business name
- JERRY P GORE CENTER FOR HOLISTIC MEDICINE LLC
- Practice address
- 240 Saunders Rd
Riverwoods, IL 60015-3835 - Phone
- (847) 236-1701
- Fax
- (847) 236-1705
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jerry P Gore, M.D.
- Title
- General Medicine and Psychiatry
- Phone
- (847) 236-1701
Practitioners 7
-
Emily Januszewski, LPC
-
Richard A. Bisceglie, D.N.
-
Alisa Courtney, LCPC
-
Elda Duplessis, LMT
-
Christy A Matusiak, D.C.
-
Alberto Minzer, LCSW
-
Joseph Starkman, D.O.
National Provider Directory
Locations
240 Saunders Rd
Riverwoods, IL 60015
Phone (847) 236-1701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | 180004714 | IL | |
| Social Worker |
104100000X | 149003629 | IL | |
| Chiropractor |
111N00000X | 038010402 | MN | |
| Specialist |
174400000X | 181000325 | IL | |
| Internal Medicine Physician |
207R00000X | 03659329 | IL | |
| Psychiatry Physician |
2084P0800X | 036053622 | IL | |
| General Practice Physician |
208D00000X | 036053622 | IL | Yes |
Addresses
Primary practice location
240 Saunders Rd
Riverwoods, IL 60015-3835
Mailing address
240 Saunders Rd
Riverwoods, IL 60015-3835
Phone (847) 236-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004932196 | Other | IL | BC/BS |
| 0004927712 | Other | IL | ALISA COURTNEY LCPC BC/BS |
| 0004927712 | Other | IL | CAROL GORE LCSW BC/BS |
| 038010402 | Medicaid | IL | |
| 00004927712 | Other | IL | DR. DAVIS BC/BS |
Other names
- CENTER FOR HOLISTIC MEDICINE
Other providers in Riverwoods, IL
- Elizabeth Heideman
- Henry Hollander
- Holly Katz Counseling PLLC
- Wei-Jen W Huang
- Emily Januszewski
- Carly Jugo
- Jodi Alexander Kahn
- Hiral Kanada
- Christine Stevick Kandaras
- Holly Katz
All providers in Riverwoods, IL · General Practice Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.