DR. STEPHANIE WARD GORDON (NPI# 1366564288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366564288 |
Entity Type | Individual |
Full Name | DR. STEPHANIE WARD GORDON |
Credential | PHARM.D., M.S. |
Practice Address |
7880 Winn Rd Spring Grove IL 60081-9687 |
Practice Telephone | 8156752408 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2014-12-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | RPH023915 | GA | Pharmacy Service Providers |
N | 183500000X | Pharmacist | PS41327 | FL | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 051.293731 | IL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578970968 | Stephanie Gordon | Specialist/Technologist | 198 Heather Dr, Central, SC 29630-9308 | 2014-07-17 |
1619309945 | Stephanie Jean Gordon | Acupuncturist | 410 Wabash St, Michigan City, IN 46360-3334 | 2013-08-09 |
1629376835 | Stephanie Vicky Gordon | Massage Therapist | 2874 Shelby St, Suite 108, Bartlett, TN 38134-4579 | 2011-03-11 |
1750516159 | Stephanie Spurlock Gordon | Dental Hygienist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2009-05-29 |
1407849722 | Stephanie H Gordon | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2005-08-23 |
1386121366 | Stephanie Gordon | Dentist | 736 E Oak St, Oakland, MD 21550-1615 | 2018-07-23 |
1356864110 | Stephanie Christine Gordon | Licensed Practical Nurse | 2216 20th St, Zion, IL 60099-1648 | 2017-07-24 |
1174992127 | Stephanie Gordon | Advanced Practice Midwife | 611 W Park St, Urbana, IL 61801-2529 | 2015-09-21 |
1003234840 | Stephanie Gordon | Social Worker | 1900 S Acadian Thruway, Baton Rouge, LA 70808-1665 | 2014-03-30 |
1841500840 | Stephanie Marie Gordon | Behavioral Analyst | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2010-10-12 |
Street Address |
7880 WINN RD |
City | SPRING GROVE |
State | IL |
Zip Code | 60081-9687 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639454358 | Amy Kratzar | Pharmacist | 7880 Winn Rd, Spring Grove, IL 60081-9687 | 2011-10-13 |
1164704524 | Walgreens | Clinic/Center | 7880 Winn Rd, Spring Grove, IL 60081-9687 | 2011-09-12 |
1982887014 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 7880 Winn Rd, Spring Grove, IL 60081-9687 | 2007-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497952618 | Quazi Mobile Imaging and Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7102 Daily St, Spring Grove, IL 60081 | 2007-06-29 |
1083828370 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2401 Route 12, Spring Grove, IL 60081 | 2007-05-09 |
1548389414 | Brian Rybicki | Dentist | 2450 Route 12, Spring Grove, IL 60081 | 2007-03-29 |
1740332592 | Spring Grove Medical Offices Ltd | Chiropractor | 2100 Route 12, Suite 101, Spring Grove, IL 60081 | 2007-01-18 |
1457457848 | Marie Claire Yvo Garduque | Physical Therapist | 1906 Holian Drive, Spring Grove, IL 60081 | 2006-09-15 |
1053429670 | Ralph Destephano | Chiropractor | 2100 N Us Hwy 12, Suite 101, Spring Grove, IL 60081 | 2006-08-25 |
1689289407 | Nadine Panagakis | Pharmacist | 2401 Route 12, Spring Grove, IL 60081 | 2020-09-09 |
1669652897 | Spring Grove Physical Therapy Ltd | Physical Therapist | 2100 Route 12, Suite101, Spring Grove, IL 60081 | 2007-11-05 |
1306970132 | Jenny Robbins | Physical Therapist | 2100 Route 12, Suite 101, Spring Grove, IL 60081 | 2007-03-15 |
1851443618 | Spring Grove Physical Medicine and Rehabilatation Ltd | Chiropractor | 2100 Route 12, Suite 101, Spring Grove, IL 60081 | 2007-01-18 |
Find all providers in zip 60081 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427499524 | Natalie Caliendo Johnson | Pharmacist | 2401 N Us Highway 12, Spring Grove, IL 60081-9691 | 2013-07-17 |
1689289407 | Nadine Panagakis | Pharmacist | 2401 Route 12, Spring Grove, IL 60081 | 2020-09-09 |
1801431549 | Amanda Rae Schuttemeier | Pharmacist | 137 W Main St, Spring Grove, MN 55974-1225 | 2019-11-15 |
1780135574 | Megan Waser | Pharmacist | 2067 Route 116, Spring Grove, PA 17362-8517 | 2016-10-17 |
1386094191 | Gina Maziarz | Pharmacist | 2401 N Us Highway 12, Spring Grove, IL 60081-9691 | 2016-06-13 |
1447630371 | Robin Patel | Pharmacist | 2067 Route 116, Spring Grove, PA 17362-8517 | 2015-06-05 |
1639454358 | Amy Kratzar | Pharmacist | 7880 Winn Rd, Spring Grove, IL 60081-9687 | 2011-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
Find all providers with the same taxonomy |
City | SPRING GROVE |
Zip Code | 60081 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.