Active NPI
Vladimir Gordin, D.C.
- Chiropractor
- Wheeling, IL
National Provider Identifier
1861452856
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Oct 19, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009488
- Practice address
- 350 East Dundee Road
Suite 300
Wheeling, IL 60090 - Phone
- (847) 243-2110
- Fax
- (847) 243-2118
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009488 | IL | |
| Chiropractor | 111N00000X | 038-009488 | IL | Primary |
Addresses
Primary practice location
350 East Dundee Road
Suite 300
Wheeling, IL 60090
Mailing address
688 Greenwood Road
Northbrook, IL 60062
Phone (847) 243-2110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861452856 | Medicaid | IL | |
| 038009488 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009488 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1861452856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 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": "60090",
"telephone_number": "847-243-2110",
"fax_number": "847-243-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDIN",
"first_name": "VLADIMIR",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009488",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861452856",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038009488",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.