HAZEL MAE GORDON
NPI 1003690611
Counselor - Mental Health in Libertyville, IL

Active since August 23, 2023
1113 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 748-0341(847) 748-0341 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hazel Mae Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZEL MAE GORDON (NPI 1003690611) is an individual mental health provider in Libertyville, Illinois and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1003690611
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHAZEL MAE GORDON
Location Address1113 S MILWAUKEE AVELibertyville, IL 60048-3758
Mailing Address1113 S Milwaukee AveLibertyville, IL 60048-3758 · (847) 748-0341 · Fax (847) 748-0341
Fax(847) 748-0341
Sole ProprietorNo
Enumeration DateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
NPI 1003690611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1113 S MILWAUKEE AVE, Libertyville, IL 60048

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1113 S MILWAUKEE AVE, SUITE #103
LIBERTYVILLE, IL 60048
Social Worker (Clinical)
1113 S MILWAUKEE AVE, SUITE 104
LIBERTYVILLE, IL 60048
Audiologist-Hearing Aid Fitter
1113 S MILWAUKEE AVE, SUITE 300
LIBERTYVILLE, IL 60048
Counselor (Mental Health)
1113 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Counselor (Professional)
1113 S MILWAUKEE AVE, SUITE 104
LIBERTYVILLE, IL 60048
Counselor
1113 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Chiropractor
1113 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Social Worker
1113 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazel Gordon's NPI number?

The NPI number for Hazel Gordon is 1003690611. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Hazel Gordon located?

Hazel Gordon practices at 1113 S Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (847) 748-0341.

What is Hazel Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Hazel Gordon was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.