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AS GORDON ENTERPRISE LLC
NPI 1336884659
Clinic/Center in Grayslake, IL

Active since May 02, 2022
102 CENTER ST, GRAYSLAKE, IL 60030(904) 477-3853 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About As Gordon Enterprise Llc NPPES

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

AS GORDON ENTERPRISE LLC (NPI 1336884659) is a healthcare organization registered as a clinic/center in Grayslake, Illinois and active in the NPI registry since May 2022. The organization lists Averill Gordon, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1336884659
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAS GORDON ENTERPRISE LLC
Location Address102 CENTER STGrayslake, IL 60030-1533
Mailing Address1282 Chesterfield LnGrayslake, IL 60030-3797 · (904) 477-3853
Phone(904) 477-3853
Organization SubpartNo
Authorized OfficialAverill GordonOwner/ President · (904) 477-3853
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1336884659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
102 CENTER ST, Grayslake, IL 60030
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Other Providers at the Same Location NPPES

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

CAITLIN CHANDRAN MSN, APRN-FPA, FNP-BC PLLC
Clinic/Center (Primary Care)
102 CENTER ST
GRAYSLAKE, IL 60030
Lake County (303) 895-4252

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 As Gordon Enterprise LLC's NPI number?

The NPI number for As Gordon Enterprise LLC is 1336884659. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is As Gordon Enterprise LLC located?

As Gordon Enterprise LLC is located at 102 Center St, Grayslake, IL 60030. The listed phone number is (904) 477-3853.

What is As Gordon Enterprise LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for As Gordon Enterprise LLC was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.