Organization Active NPI

Hilton M Gordon MD SC

  • Internal Medicine Physician
  • Deerfield, IL
National Provider Identifier
1558670885
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036066534 Issued in IL
Legal business name
HILTON M GORDON MD SC
Practice address
930 Brand LN
Deerfield, IL 60015-3404
Phone
(630) 241-1495
Fax
(630) 241-1543
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Hilton M Gordon, MD
Title
Owner/Provider
Phone
(630) 241-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036066534 IL Primary

Addresses

Primary practice location

930 Brand LN
Deerfield, IL 60015-3404

Mailing address

930 Brand LN
Deerfield, IL 60015-3404
Phone (630) 241-1495

National Provider Directory

National Provider Directory

Locations

4640 N Marine Dr
Fl 5
Chicago, IL 60640
Phone (773) 564-5082

4640 N Marine Dr
#5T
Chicago, IL 60640

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1558670885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BRAND LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153404",
            "telephone_number": "630-241-1495",
            "fax_number": "630-241-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BRAND LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153404",
            "telephone_number": "630-241-1495",
            "fax_number": "630-241-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON M GORDON MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "HILTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "630-241-1495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036066534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.