Gordin Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

042-618618 Issued in IL

Legal business name

GORDIN MEDICAL CENTER

Practice address

350 East Dundee Road
Suite 300
Wheeling, IL 60090-3119

Phone

(847) 243-2110

Fax

(847) 243-2118

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vladimir Gordin Jr., D.C.

Title

President

Phone

(847) 243-2110

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1679666820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 GREENWOOD ROAD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-243-2110",
            "fax_number": "847-243-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EAST DUNDEE ROAD",
            "address_2": "SUITE 300",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903119",
            "telephone_number": "847-243-2110",
            "fax_number": "847-243-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "GORDIN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-243-2110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009488",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036109468",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "042-618618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Golubyants
• Brandon M Gonzalez
• Maria E Gonzalez, MD
• Theresa Manriquez Gonzalez, LPN
• Victor Gonzalez, DDS
• Vladimir Gordin, D.C.
• Edward Granat, DC
• Julie Oscherwitz Grant, L.C.S.W.
• Greater Chicago Chiropractic, LLC
• Greater Family Health

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.