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SAMANTHA CLAIRE GORDON MD NPI 1871942177


NPI Information

NPI: 1871942177
Provider Name: SAMANTHA CLAIRE GORDON, MD
Classification: Dermatology - 207NP0225X
Entity Type: Individual

Specialization: Pediatric Dermatology

PECOS Registration: Yes

Address:
1765 N ELSTON AVE STE 110
CHICAGO, IL
ZIP 60642
Phone: (773) 276-1100
Get Directions

Samantha Claire Gordon, MD is a pediatric dermatology dermatology in Chicago, IL with 8 years of experience. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. Samantha Claire Gordon, MD NPI is 1871942177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1765 N ELSTON AVE STE 110
CHICAGO, IL
ZIP 60642-501
Phone: (773) 276-1100
Fax: (773) 276-1102

The NPI 1871942177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 8/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology36151568ILLINOISNo
2207NP0225XDermatologyPediatric Dermatology036151568ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.