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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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.

Request for update

Popular Providers