Tatia Gore

NPI 1134307804 · on the registry since 2008 · sole proprietor

Practice

Address: 4850 S Lake Park Ave Apt 1708b
Chicago, IL 60615
Phone: (773) 368-8333
Fax: (773) 538-4536
Organisation at this address: Trans-A-Way
3 H Care Inc.
Kidz Biz Early Intervention
Winning Team Trucking, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 2355S0801X
2355S0801X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-03-24

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