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NPI Code Detail

MEDICARE: ALEXANDER C GORDON MD

MEDICARE: ALEXANDER C GORDON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician036-104280IL
2207XS0114XAdult Reconstructive Orthopaedic Surgery Physician036104280IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932153103
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER C GORDON MD
Provider Business Mailing Address
First Line : 2650 RIDGE AVE # 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-982-3175
Fax Number : 847-982-3394
Provider Business Practice Location Address
First Line : 9650 GROSS POINT RD STE 2900
Second Line :
City : SKOKIE
State : IL
Zip : 60076-5006
Country : US
Telephone Number : 847-866-7846
Fax Number : 224-251-2905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 02/25/2026

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