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IndividualActiveTelehealthMedicare EnrolledCan Order/Refer

Jack Gordon

LCSW

Social Worker - Clinical

NPI: 1750735510North Chicago, Illinois, 60064(224) 475-1279Male

About Jack Gordon

Jack Gordon, LCSW, is a male healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1750735510. Jack Gordon received his medical education at OTHER, graduating in 2014.

Their primary practice is located at 3001 GREEN BAY RD, North Chicago, Illinois 60064. Patients can reach the office at (224) 475-1279. Jack Gordon is enrolled in Medicare and accepts Medicare patients, offers telehealth services for remote virtual consultations, is authorized to order and refer Medicare services.

Jack Gordon has been NPI-registered since 2016.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1750735510
Entity Type
Individual
First Name
Jack
Last Name
Gordon
Credential
LCSW
Gender
Male
Medical School
OTHER
Graduation Year
2014
Sole Proprietor
No
Status
active

Primary Practice Location

Address
3001 GREEN BAY RD
City
North Chicago
State
Illinois
ZIP
60064-3048
Country
United States
Phone
(224) 475-1279

Specialty & Taxonomy

Primary Specialty
Social Worker - Clinical
Classification
Social Worker
Specialization
Clinical
Taxonomy Code
1041C0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
3001 GREEN BAY RD
City
NORTH CHICAGO
State
IL
ZIP
600643048

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
Yes
Excluded
No

Frequently Asked Questions

What is Jack Gordon's NPI number?
Jack Gordon's National Provider Identifier (NPI) is 1750735510. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jack Gordon specialize in?
Jack Gordon specializes in Social Worker - Clinical. They received their medical education at OTHER (class of 2014).
Where is Jack Gordon located?
Jack Gordon practices at 3001 GREEN BAY RD, North Chicago, Illinois 60064. You can reach them by phone at (224) 475-1279.
Does Jack Gordon accept Medicare?
Yes, Jack Gordon is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Jack Gordon offer telehealth or virtual visits?
Yes, Jack Gordon offers telehealth services, which means you can schedule virtual consultations or appointments remotely via video or phone.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack Gordon is 1750735510.