Active NPI
Hilton M Gordon MD SC
- Internal Medicine Physician
- Deerfield, IL
National Provider Identifier
1558670885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036066534
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.