DR. WILLIAM EDWARD GORDON (NPI# 1497169882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497169882 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM EDWARD GORDON |
| Credential | D.D.S |
| Practice Address |
635 Chicago Ave Evanston IL 60202-2365 |
| Mailing Address |
1841 W 47th St Chicago IL 60609-3844 |
| Practice Telephone | 8474910880 |
| Practice Fax Number | 7739271692 |
| Mailing Telephone | 7739275568 |
| Mailing Fax Number | 7739271692 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019029816 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326482704 | William F Gordon | Physical Therapist | 70 Main St Ste 201, North Andover, MA 01845-2427 | 2013-04-29 |
| 1194033118 | William Patrick Gordon | Obstetrics & Gynecology | 1106 Burr Ridge Club Drive, Burr Ridge, IL 60527-5214 | 2010-09-24 |
| 1699003376 | William Frederick Gordon | Psychologist | 1211 Puerta Del Sol, San Clemente, CA 92673 | 2009-11-18 |
| 1376784363 | William Michael Gordon | Counselor | 301 The City Dr S # 2090, Orange, CA 92868-3205 | 2009-03-20 |
| 1801912654 | William H Gordon | Dentist | 1904 Front St, Suite 530, Durham, NC 27705-2583 | 2007-03-22 |
| 1992733125 | William Gordon | Pharmacist | 6849 Arlington Dr, West Bloomfield, MI 48322-2720 | 2006-06-28 |
| 1730152182 | William Michael Gordon | Dentist | 840 Tiogue Ave, Coventry, RI 02816 | 2006-02-08 |
| 1528050069 | William David Gordon | Optometrist | 3000 Forsythe Ave, Monroe, LA 71201-3012 | 2005-08-19 |
| 1093278491 | William Gordon | Pharmacist | 4500 Weitzel St, Timnath, CO 80547-4416 | 2019-04-11 |
| 1790211746 | William Gordon | Registered Nurse | 750 N Estrella Pkwy Ste 40, Goodyear, AZ 85338-9279 | 2017-05-11 |
| Street Address |
635 CHICAGO AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821042433 | Michael Edward Gordon | Dentist | 635 Chicago Ave, Evanston, IL 60202 | 2006-05-19 |
| 1730653718 | For Eyes Optical of Pa | Optometrist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2019-01-14 |
| 1700219185 | Rebecca Y Li | Pharmacist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2013-08-20 |
| 1326308941 | Diana L Haskins | Optometrist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2012-05-17 |
| 1316228356 | Sanjay J Gandhi | Pharmacist | 635 Chicago Ave, Evanston, IL 60202-2365 | 2011-09-05 |
| 1407075831 | Status Post Surgical Services Inc. | Contractor | 635 Chicago Ave, Suite 203, Evanston, IL 60202-2365 | 2007-04-24 |
| 1922156553 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 635 Chicago Ave, Evanston, IL 60202-2365 | 2007-01-08 |
| 1972518108 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 635 Chicago Ave, Evanston, IL 60202-2365 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245897586 | Nada Salem | Dentist | 820 Davis St Ste 460, Evanston, IL 60201-4447 | 2019-05-22 |
| 1952817298 | Webster Dental Care Evanston, Ltd | Dentist | 500 Davis St Ste 601, Evanston, IL 60201-4622 | 2017-12-22 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| 1689084642 | Margaret Ellen Buell | Dentist | 1601 Sherman Ave Ste 400, Evanston, IL 60201-5038 | 2014-04-30 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1164686457 | David Ricki Turok | Dentist | 500 Davis St Ste 510, Evanston, IL 60201-4621 | 2008-07-15 |
| 1881869279 | Robert Evan Lozoff | Dentist | 515 Sheridan Rd, 302, Evanston, IL 60202-4703 | 2008-04-25 |
| 1326245705 | Dental Health Care Ltd | Dentist | 2611 Broadway Ave, Evanston, IL 60201-1501 | 2007-06-29 |
| 1124238720 | Kathleen J. Curry | Dentist | 823 Chicago Ave, Evanston, IL 60202-2307 | 2007-05-23 |
| 1457573560 | Steven J Burt | Dentist | 1595 So Hwy 150, Building 107 Suite A, Evanston, WY 82930 | 2007-05-02 |
| Find all providers in EVANSTON | ||||
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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.