MEDICARE: AMANDA GORDON RD, LDN

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
1	133V00000X	Registered Dietitian	164.006707	IL

General Provider Information

NPI Number	:	1952769226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA GORDON RD, LDN

Provider Business Mailing Address
First Line	:	2516 WAUKEGAN RD
Second Line	:	SUITE 115
City	:	GLENVIEW
State	:	IL
Zip	:	60025-1774
Country	:	US
Telephone Number	:	267-226-7428
Fax Number	:

Provider Business Practice Location Address
First Line	:	2516 WAUKEGAN RD
Second Line	:	SUITE 115
City	:	GLENVIEW
State	:	IL
Zip	:	60025-1774
Country	:	US
Telephone Number	:	267-226-7428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2016
Last Update Date	:	02/23/2016

Similar Medicare Providers

1881787505 — CHARLES BADER KAHN M.D.
Practice Location Address:

2516 WAUKEGAN RD
GLENVIEW, IL
60025-1774

Practice Phone: 954-328-2882
Practice Fax:

1235162397 — ADVANCED THERAPY CENTER, INC.
Practice Location Address:

2516 WAUKEGAN RD , SUITE 353
GLENVIEW, IL
60025-1774

Practice Phone: 847-730-3111
Practice Fax: 847-730-3111

1467578054 — YELENA K ADANIN P.T.
Practice Location Address:

2516 WAUKEGAN RD , STE 353
GLENVIEW, IL
60025-1774

Practice Phone: 847-730-3111
Practice Fax: 847-730-3111

1306149521 — MAY HASHIMI MD S C
Practice Location Address:

2516 WAUKEGAN RD , 316
GLENVIEW, IL
60025-1774

Practice Phone: 847-904-7400
Practice Fax:

1841646379 — DR. NGA TRAN
Practice Location Address:

2502 WAUKEGAN RD
GLENVIEW, IL
60025-1774

Practice Phone: 847-486-0847
Practice Fax:

1144772989 — MICHELLE LEAH RAMOS
Practice Location Address:

2516 WAUKEGAN RD , STE 318
GLENVIEW, IL
60025-1774

Practice Phone: 724-888-3988
Practice Fax:

Directions to “ AMANDA GORDON RD, LDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.