| Kevin Gordon, DO | |
|
301 Madison St Ste 260, Joliet, IL 60435-6670 | |
| (815) 773-7807 | |
| Not Available |
| Full Name | Kevin Gordon |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 301 Madison St Ste 260, Joliet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811082431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-091394 (Illinois) | Primary |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Gordon, DO 301 Madison St Ste 260, Joliet, IL 60435-6670 Ph: (815) 773-7807 | Kevin Gordon, DO 301 Madison St Ste 260, Joliet, IL 60435-6670 Ph: (815) 773-7807 |
Ignacio Orellana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Collins St, Unit B, Joliet, IL 60432 Phone: 815-582-3565 | |
Dr. Willard O. Elyea, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2848 Mcdonough St, Joliet, IL 60436 Phone: 815-725-1206 Fax: 815-741-1579 | |
Eva R Chatman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3201 Fax: 815-741-6293 | |
Oludara Olutomi Talabi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St Ste B, Joliet, IL 60436 Phone: 815-957-4174 | |
Mr. Juan C Pinto, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 691 Collins St, Joliet, IL 60432 Phone: 815-726-1665 Fax: 815-726-4870 | |
Maria Rustam Latif, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-2121 | |
Asavari Javeri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-2121 Fax: 815-741-6303 |