MR. PHILLIP GORDON (NPI# 1619259801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619259801 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP GORDON |
| Practice Address |
1500 W Wilson Ave Chicago IL 60640-5416 |
| Practice Telephone | 7739078995 |
| Mailing Telephone | 7739078995 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.025049 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353993 | Phillip C. Gordon | Pathology | 200 Avenue F Ne, Dept. of Pathology, Winter Haven, FL 33881-4131 | 2005-11-14 |
| 1942833595 | Phillip Brandon Gordon | Student in an Organized Health Care Education/Training Program | 1120 15th St # Gc5110, Augusta, GA 30912-0004 | 2020-02-21 |
| 1033672845 | Phillip Stuart Gordon | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2019-04-09 |
| 1164591798 | Phillip V Gordon | Pediatrics | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2006-11-07 |
| Street Address |
1500 W WILSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518972769 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1500 W Wilson Ave, Chicago, IL 60640 | 2006-07-29 |
| 1366728446 | Edwin Jimenez | Pharmacist | 1500 W Wilson Ave, Chicago, IL 60640-5416 | 2011-11-02 |
| 1104101864 | William Meeker | Pharmacist | 1500 W Wilson Ave, Chicago, IL 60640-5416 | 2011-10-13 |
| 1790065423 | Susan Elizabeth Bell | Pharmacist | 1500 W Wilson Ave, Chicago, IL 60640-5416 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| 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 |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
| 1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
| 1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
| 1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
| 1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
| 1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
| 1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
| Find all providers in CHICAGO | ||||
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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.