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As Gordon Enterprise Llc
Clinic/Center in Grayslake, Illinois
NPI 1336884659

As Gordon Enterprise Llc is a Clinic/Center based in Grayslake, IL. As Gordon Enterprise Llc practices in Grayslake, IL. The NPI Number for As Gordon Enterprise Llc is 1336884659 and holds a License No. (Illinois).

The current practice location address for As Gordon Enterprise Llc is 102 Center St, Grayslake, IL and can be reached out via phone at 904-477-3853.

Location: 102 Center St, Grayslake, IL, 60030-3797
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336884659
Provider Name
As Gordon Enterprise Llc
Credential
Provider Entity Type
Organization
Address
102 Center St, Grayslake, IL, 60030-3797
Phone Number
904-477-3853
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
102 Center St
City
Grayslake
State
Illinois
Zip
60030-1533
Phone Number
904-477-3853
Fax Number
person
Provider Business Mailing Address Details
Address
102 Center St
City
Grayslake
State
Illinois
Zip
60030-1533
Phone Number
904-477-3853
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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