| Samantha Claire Gordon, MD | |
|
1765 N Elston Ave Ste 110, Chicago, IL 60642-1501 | |
| (773) 276-1100 | |
| (773) 276-1102 |
| Full Name | Samantha Claire Gordon |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 9 Years |
| Location | 1765 N Elston Ave Ste 110, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871942177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 36151568 (Illinois) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 036151568 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitalskin Medical Group Il Pllc | 5991116261 | 54 |
| Entity Name | Dermatology And Aesthetics Of Wicker Park Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386777241 PECOS PAC ID: 1052410081 Enrollment ID: O20070615000457 |
| Entity Name | Vitalskin Medical Group Il Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063030252 PECOS PAC ID: 5991116261 Enrollment ID: O20201118002083 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Claire Gordon, MD 1765 N Elston Ave Ste 110, Chicago, IL 60642-1501 Ph: (773) 276-1100 | Samantha Claire Gordon, MD 1765 N Elston Ave Ste 110, Chicago, IL 60642-1501 Ph: (773) 276-1100 |
Edward B Li, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 1600, Chicago, IL 60611 Phone: 312-695-8106 | |
Joaquin Carlos Brieva, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611 Phone: 312-695-8106 Fax: 312-695-0537 | |
Dr. Kevin Scott Pinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601 Phone: 312-263-4625 Fax: 312-263-5029 | |
Dr. James A Ida Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1663 W Carmen Ave, Chicago, IL 60640 Phone: 773-293-7500 | |
Erin M Ibler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126 | |
Dr. Stephen L Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126 | |
Dr. Todd Andrew Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642 Phone: 773-276-1100 Fax: 773-276-1102 |