Mr Eitan M Gordon, EDS - Psychologist in Zion, IL

Mr Eitan M Gordon, EDS is a Psychologist - School based in Zion, Illinois. Mr Eitan M Gordon is licensed to practice in Illinois (license number 824544) and his current practice location is 2800 29th St, Zion, Illinois. He can be reached at his office (for appointments etc.) via phone at (847) 872-5455.

NPI number for Mr Eitan M Gordon is 1417455452 and his current mailing address is 2800 29th St, Zion, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417455452.

Contact Information

Mr Eitan M Gordon, EDS
2800 29th St,
Zion, IL 60099-3010
(847) 872-5455
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Eitan M Gordon
GenderMale
SpecialityPsychologist - School
Location2800 29th St, Zion, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417455452
  • Provider Enumeration Date: 01/24/2018
  • Last Update Date: 01/24/2018

Medical Identifiers

Medical identifiers for Mr Eitan M Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417455452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 824544 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Eitan M Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Eitan M Gordon, EDS
2800 29th St,
Zion, IL 60099-3010

Ph: (847) 872-5455
Mr Eitan M Gordon, EDS
2800 29th St,
Zion, IL 60099-3010

Ph: (847) 872-5455

Reviews and Comments


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