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RANDALL JAY GORDON MD
NPI 1174512925
Obstetrics & Gynecology in Blue Island, IL

Active since October 14, 2005
2320 HIGH ST, BLUE ISLAND, IL 60406(708) 388-5500(708) 388-5672 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Jay Gordon Md NPPES

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

RANDALL JAY GORDON MD (NPI 1174512925) is an individual obstetrics & gynecology provider in Blue Island, Illinois, licensed in Illinois (036070173) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1174512925
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameRANDALL JAY GORDONCredential: MD
Location Address2320 HIGH STBlue Island, IL 60406-2426
Mailing Address2320 High StBlue Island, IL 60406-2426 · (708) 388-5500 · Fax (708) 388-5672
Phone(708) 388-5500
Fax(708) 388-5672
Sole ProprietorNo
Enumeration DateOctober 14, 2005
Last NPPES UpdateJanuary 12, 2010
✔ NPI 1174512925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036070173
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2320 HIGH ST, Blue Island, IL 60406
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Other Identifiers 5

Medicare PIN770600IL
Medicare PIN160036380IL
Medicare UPIND16431IL
Other160036380IL · Railroad Medicare
Medicaid036070173IL

Other Providers at the Same Location NPPES 17

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

MIYOUNG WON MD
General Practice
2320 HIGH ST
BLUE ISLAND, IL 60406
Cook County (708) 388-5500
SHING I YEN MD
Orthopaedic Surgery
2320 HIGH ST, RETIRED 12-31-2014
BLUE ISLAND, IL 60406
Cook County (708) 388-5500
JOSEPH H MAYER MD
Psychiatry & Neurology (Clinical Neurophysiology)
2320 HIGH ST
BLUE ISLAND, IL 60406
Cook County (708) 388-5500
JEANINE CONNOLLY MD
Internal Medicine (Rheumatology)
2320 HIGH ST
BLUE ISLAND, IL 60406
Cook County (708) 388-5500
RAMON MANGLANO MD
Surgery
2320 HIGH ST
BLUE ISLAND, IL 60406
Cook County (708) 388-5500
JULIE G VANDERBILT MD
Family Medicine
2320 HIGH ST
BLUE ISLAND, IL 60406
Cook County (708) 388-5500
SUSAN N WAGNER APRNCNS
Clinical Nurse Specialist (Adult Health)
2320 HIGH ST
BLUE ISLAND, IL 60406
Cook County (708) 388-5500
NOREEN B KELEHER PA-C
Physician Assistant
2320 HIGH ST
BLUE ISLAND, IL 60406
Cook County (708) 388-5500

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 Randall Gordon's NPI number?

The NPI number for Randall Gordon is 1174512925. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Randall Gordon located?

Randall Gordon practices at 2320 High St, Blue Island, IL 60406. The listed phone number is (708) 388-5500.

What is Randall Gordon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Randall Gordon was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.