OrganizationActive
As Gordon Enterprise LLC
NPI 1336884659 · Clinic/Center · Grayslake, IL
Provider details
- NPI number
- 1336884659
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Averill Gordon, Owner/ President(904) 477-3853
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
102 Center St
Grayslake, IL 60030-1533
Phone: (904) 477-3853
Street-level locationGet directions
Mailing address
1282 Chesterfield Ln
Grayslake, IL 60030-3797
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2022-05-02
- Certified
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.