Gordon, Teresa K
Gordon, Teresa K is an sole proprietor health care provider with primary practice located at 3625 S Lake Park Ave #1107, Chicago IL 60653-1468. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Gordon, Teresa K can be contacted via phone (773) 538-1637.Contact Information
Primary practice address
3625 S Lake Park Ave #1107
Chicago IL 60653-1468
Phone: (773) 538-1637
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | 172A00000X | Illinois |
Profile Details
NPI number | 1023115920 |
---|---|
LBN Legal business name | Gordon, Teresa K |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 20th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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