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Contact Information

PAUL J GORDON, MD
10604 SOUTHWEST HWY STE 101
CHICAGO RIDGE, IL60415
 Phone: 708-346-4065
 Fax: 708-423-5799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PAUL J GORDON · (Male)

NPI # 1356341994
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2005
Last updated 08/05/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036095321
  • IN License # 01046920A
  • IL Medicaid 036095321
  • IN Medicaid 200144230A
  • IN Medicaid 200144230B
  • IN Medicaid 200144230C
  • IN Medicaid 200144230F
  • MI Medicaid 1356341994
Hospital affiliation(s)
  • ADVENTIST LA GRANGE MEMORIAL HOSPITAL - (Acute Care)
    5101 S WILLOW SPRINGS RD
    LA GRANGE, IL 60525
  • ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER - (Acute Care)
    4440 W 95TH STREET
    OAK LAWN, IL 60453
  • ADVOCATE TRINITY HOSPITAL - (Acute Care)
    2320 E 93RD ST
    CHICAGO, IL 60617
  • HINSDALE HOSPITAL - (Acute Care)
    120 NORTH OAK ST
    HINSDALE, IL 60521
  • PALOS COMMUNITY HOSPITAL - (Acute Care)
    12251 SOUTH 80TH AVENUE
    PALOS HEIGHTS, IL 60463
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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