MS. TERESA GORDON III

Driver

Active Individual
NPI: 1023115920

Practice Address

3625 S LAKE PARK AVE
#1107
Chicago, IL 60653

Phone: (773) 538-1637

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 172A00000X (IL)

Frequently Asked Questions

NPI 1023115920 is the National Provider Identifier for MS. TERESA GORDON III, a Driver provider located in Chicago, IL. This NPI was enumerated on September 20, 2006.
MS. TERESA GORDON III practices at 3625 S LAKE PARK AVE, #1107, Chicago, IL 60653.

Quick Facts

NPI
1023115920
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Jul 8, 2007

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