Dr. Sara C Gordon
Oral and Maxillofacial Pathology
801 S Paulina Street Dept Of Oral Medicine Uic College Of Dentistry Mc 838
Chicago
, Illinois 60612-7213
Dr. Sara C Gordon
Oral and Maxillofacial Pathology
801 S Paulina Street Dept Of Oral Medicine Uic College Of Dentistry Mc 838
Chicago
, Illinois 60612-7213
(312) 996-9226
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Sara C Gordon
- 801 S Paulina St Uic College Of Dentistry, Omds (mc838)
- Chicago, IL
- Zip : 60612-7210
- Fax : (312) 996-9226
- Phone : (312) 996-1104
Second Address
- Dr. Sara C Gordon
- 801 S Paulina Street Dept Of Oral Medicine Uic College Of Dentistry Mc 838
- Chicago, IL
- Zip : 60612-7213
- Fax : (312) 996-9226
- Phone : (312) 996-1104
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 2901017279 | MI |
National Provider Identifier
| NPI | 1871516088 |
|---|---|
| Provider Name | Dr. Sara C Gordon |
| First Address | Chicago, IL 60612-7210 |
| Second Address | Chicago, IL 60612-7213 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 10/04/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.