MS. TATIA M GORE (NPI# 1134307804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134307804 |
| Entity Type | Individual |
| Full Name | MS. TATIA M GORE |
| Practice Address |
4850 S Lake Park Ave Apt 1708b Chicago IL 60615-2073 |
| Practice Telephone | 7733688333 |
| Practice Fax Number | 7735384536 |
| Mailing Telephone | 7733688333 |
| Mailing Fax Number | 7735384536 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
IL | Speech, Language and Hearing Service Providers |
| Street Address |
4850 S LAKE PARK AVE APT 1708B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093987638 | Kidz Biz Early Intervention | Early Intervention Provider Agency | 4850 S Lake Park Ave Apt 1708b, Chicago, IL 60615-2073 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427666825 | Claudia Diane Sudduth | Specialist/Technologist | 2047 E 75th St Apt 2b, Chicago, IL 60649-3637 | 2020-07-21 |
| 1396381067 | Casey Malman | Specialist/Technologist | 901 W Madison St Unit 701, Chicago, IL 60607-3372 | 2019-11-18 |
| 1992282669 | Molly M Binder | Specialist/Technologist | 2889 N Milwaukee Ave Apt 2r, Chicago, IL 60618-7422 | 2018-07-25 |
| 1649765702 | Isabel Hernandez | Specialist/Technologist | 1314 N Rockwell St Apt 3, Chicago, IL 60622-1236 | 2018-06-29 |
| 1922550276 | Gail Louise Akins | Specialist/Technologist | 3734 W 82nd St, Chicago, IL 60652-2434 | 2016-11-02 |
| 1073968012 | Agnieszka Dominika Lenart | Specialist/Technologist | 7170 W Grand Ave, Apt 4e, Chicago, IL 60707-2862 | 2016-04-27 |
| 1477929487 | Adrienne Cherry | Specialist/Technologist | 1529 E 86th St, Chicago, IL 60619-6518 | 2015-08-12 |
| 1376941161 | Corey Michelle Friedli | Specialist/Technologist | 3136 S Prairie Ave Apt 2, Chicago, IL 60616-3904 | 2014-12-11 |
| 1508275769 | Laura Pritchard | Specialist/Technologist | 1010 N Hooker Street, Suite 301, Chicago, IL 60642-4633 | 2014-08-12 |
| 1851714406 | Tasha Hammond | Specialist/Technologist | 1837 E 84th St, Apt #3, Chicago, IL 60617-2200 | 2014-01-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.