person
Ms. Teresa K Gordon III
Driver in Chicago, Illinois
NPI 1023115920

Teresa K Gordon III is a Driver based in Chicago, IL. Teresa K Gordon III practices in Chicago, IL. The NPI Number for Teresa K Gordon III is 1023115920 and holds a License No. 172A00000X (Illinois).

The current practice location address for Teresa K Gordon III is 3625 S Lake Park Ave, Chicago, IL and can be reached out via phone at 773-538-1637.

Location: 3625 S Lake Park Ave, Chicago, IL, 60653-1468
person
Provider Profile Details
NPI Number
1023115920
Provider Name
Teresa K Gordon III
Credential
Provider Entity Type
Individual
Gender
Female
Address
3625 S Lake Park Ave, Chicago, IL, 60653-1468
Phone Number
773-538-1637
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3625 S Lake Park Ave
City
State
Zip
60653-1468
Phone Number
773-538-1637
Fax Number
person
Provider Business Mailing Address Details
Address
3625 S Lake Park Ave
City
State
Zip
60653-1468
Phone Number
773-538-1637
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
172A00000X (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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