National Provider Identifier Database

SAMANTHA C GORDON, MD – NPI #1871942177
Pediatric Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.


Contact Information

SAMANTHA C GORDON, MD
1765 N ELSTON AVE STE 110
CHICAGO, IL60642-1501
Phone: 773-276-1100
Fax: 773-276-1102
Website:
Specialty Taxonomy Code
* Pediatric Dermatology 207NP0225X
Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for SAMANTHA C GORDON

NPI Number 1871942177
Credentials MD
Entity Individual
Enumeration date 06/07/2016
Last updated 08/24/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036151568
  • IL License #: 36151568
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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