Robert A. Gordon
Emergency Physician Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
1000 Central St Ste 730
Evanston
, Illinois 60201
Robert A. Gordon
Emergency Physician Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
1000 Central St Ste 730
Evanston
, Illinois 60201
(847) 570-1865
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About
Features
Specialties
- Emergency Physician
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Robert A. Gordon
- 1000 Central St Ste 730
- Evanston, IL
- Zip : 60201-1779
- Fax : (847) 570-1865
- Phone : (847) 663-8410
Second Address
- Robert A. Gordon
- 1000 Central St Ste 730
- Evanston, IL
- Zip : 60201
- Fax : (847) 570-1865
- Phone : (847) 663-8410
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 036-110124 | IL |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036110124 | IL |
| N | 207RC0000X | Internist - Cardiovascular Disease | 036-110124 | IL |
National Provider Identifier
| NPI | 1417974973 |
|---|---|
| Provider Name | Robert A. Gordon |
| First Address | Evanston, IL 60201-1779 |
| Second Address | Evanston, IL 60201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 11/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I20795 | (02) |
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.