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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 Specialty Code Provider Type

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SAMANTHA C GORDON · (Female)

NPI Number 1871942177
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2016
Last updated 08/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036151568
  • IL License # 36151568
Hospital affiliation(s) Not Available
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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