MS. TERESA K GORDON NPI 1023115920

NPI Information

NPI: 1023115920
Provider Name: MS. TERESA K GORDON
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
3625 S LAKE PARK AVE
#1107
CHICAGO, IL
ZIP 60653
Phone: (773) 538-1637
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MS. Teresa K Gordon is a driver in Chicago, IL. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. MS. Teresa K Gordon NPI is 1023115920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3625 S LAKE PARK AVE
#1107
CHICAGO, IL
ZIP 60653-468
Phone: (773) 538-1637

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		172A00000X	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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