| Randall Jay Gordon, MD | |
|
2320 High St, Blue Island, IL 60406-2426 | |
| (708) 388-5500 | |
| (708) 388-5672 |
| Full Name | Randall Jay Gordon |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2320 High St, Blue Island, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174512925 | NPI | - | NPPES |
| 036070173 | Medicaid | IL | |
| 160036380 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036070173 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Jay Gordon, MD 2320 High St, Blue Island, IL 60406-2426 Ph: (708) 388-5500 | Randall Jay Gordon, MD 2320 High St, Blue Island, IL 60406-2426 Ph: (708) 388-5500 |
Miyoung Won, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Alfonso Mejia-zelaya, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Dr. David Vallejo Jr., M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13000 Maple Ave, Blue Island, IL 60406 Phone: 708-385-6100 Fax: 708-385-2051 | |
Alfonso Delgranado, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 13000 Maple Ave, Blue Island, IL 60406 Phone: 708-385-6100 Fax: 708-385-2051 | |
Angela I Risser, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 |