Stephanie Christine Gordon, LPN is a 
Licensed Practical Nurse based in Zion, Illinois. Stephanie Christine Gordon is licensed to practice in Illinois (license number 043.109586) and her current practice location is 
2216 20th St, Zion, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(847) 445-4633.
NPI number for Stephanie Christine Gordon is 1356864110 and her current mailing address is 3315 98th Pl, Pleasant Prairie, Wisconsin. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356864110.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Stephanie Christine Gordon | 
|---|
| Gender | Female | 
|---|
| Speciality | Licensed Practical Nurse | 
|---|
| Location | 2216 20th St, Zion, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1356864110
 - Provider Enumeration Date: 07/24/2017
 - Last Update Date: 07/24/2017
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Stephanie Christine Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1356864110 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 164W00000X | Licensed Practical Nurse  | 043.109586 (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. Stephanie Christine 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 Address | Practice Location Address | 
		Stephanie Christine Gordon, LPN 3315 98th Pl, Pleasant Prairie, WI 53158-5702 Ph: (517) 410-9288 | Stephanie Christine Gordon, LPN 2216 20th St, Zion, IL 60099-1648 Ph: (847) 445-4633 | 
		
		 
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