Illinois Professionals Health Program, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ILLINOIS PROFESSIONALS HEALTH PROGRAM, LLC

Practice address

3320 Dundee Rd
Northbrook, IL 60062-2303

Phone

(847) 892-7910

Fax

(847) 892-7911

NPI assigned

Aug 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Lee Gordon, MDNPI 1992961643

Title

Member Manager

Phone

(847) 892-7910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Lee Gordon, MD

  • Psychiatry Physician
  • Northbrook, IL
  • NPI 1992961643

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Cassie Reese, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Plaines, IL
  • NPI 1912384041
  NPD

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1760907133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622303",
            "telephone_number": "847-892-7910",
            "fax_number": "847-892-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622303",
            "telephone_number": "847-892-7910",
            "fax_number": "847-892-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PROFESSIONALS HEALTH PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "847-892-7910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily E Iglar, LCSW
• Ogoamaka C Igwe
• Maureen Ikpeama, MD
• Alyssa Illian
• Illinios Tech Lab Inc
• Img Capital LLC
• Img Sound LLC
• In Home Health LLC
• In Home Health LLC
• Inbar Greenfeld Tairy PC

• Psychiatry Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.