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Theresa Gorman
NPI 1336587831 · on the registry since 2013 · sole proprietor
Practice
- Address
- 10829 S Western Ave
Suite B
Chicago, IL 60643 - Phone
- (773) 779-8200
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-11
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