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Teresa Gordon
NPI 1023115920 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3625 S Lake Park Ave
#1107
Chicago, IL 60653 - Phone
- (773) 538-1637
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois