| Doctor Name: | CARRIE KATZ GORDON |
| NPI Number: | 1144383415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 17683 |
| Business Practice Address: | 100 E Irving Park Rd St 107 Roselle, IL - 601722048 |
| Business Phone Number: | 6304390009 |
| Business Fax Number: | |
| Mailing Address: | 360 W Illinois St, Unit 5f CHICAGO |
| State: | IL |
| Postal Code: | 606543658 |
| Phone Number: | 3129292520 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 06/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 17683 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |