MS. Teresa K Gordon III

NPI #1023115920 in Chicago, Illinois

Provider Information

NPI Number: 1023115920
Entity Type: Individual
Name: MS. Teresa K Gordon III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3625 S LAKE PARK AVE
Address 2: #1107
City: Chicago
State: Illinois
ZIP Code: 60653-1468
Phone: (773) 538-1637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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