MS. TERESA K GORDON III (NPI# 1023115920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023115920 |
| Entity Type | Individual |
| Full Name | MS. TERESA K GORDON III |
| Other Name | MS. TERESA K GORDON |
| Practice Address |
3625 S Lake Park Ave #1107 Chicago IL 60653-1468 |
| Practice Telephone | 7735381637 |
| Mailing Telephone | 7735381637 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | 172A00000X | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880843 | Teresa Gordon | Psychologist | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2018-05-04 |
| 1598840324 | Teresa Beth Gordon | Nurse Anesthetist, Certified Registered | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2006-10-27 |
| Street Address |
3625 S LAKE PARK AVE #1107 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435551 | Oluwagbenga Afiamoye Ojo | Driver | 6969 N Ashland Blvd Unit 101, Chicago, IL 60626-3354 | 2020-07-30 |
| 1538725098 | Tempes L Halley | Driver | 8255 S Commercial Ave Apt 2r, Chicago, IL 60617-2103 | 2019-05-10 |
| 1649737933 | Lakesha Catrice Spivey | Driver | 7829 S Peoria St Ste 1, Chicago, IL 60620-2827 | 2019-02-22 |
| 1578027942 | Gwendolyn Haynes | Driver | 7629 S Hoyne Ave, Chicago, IL 60620-5738 | 2019-01-30 |
| 1528532959 | Jermaine Dale Watson | Driver | 6833 S Claremont Ave, Chicago, IL 60636-3138 | 2019-01-18 |
| 1013492925 | Clement R Ajayi Sr. | Driver | 7618 S Coles Ave, Chicago, IL 60649-4325 | 2018-09-26 |
| 1063904639 | Aina Adedoyin Adegbemi | Driver | 3118 W Devon Ave Apt 1e, Chicago, IL 60659-1458 | 2018-05-30 |
| 1760970883 | Lonnie Crawford | Driver | 1019 N Menard Ave, Chicago, IL 60651-2665 | 2018-04-24 |
| 1841799525 | Melvin Gallegos | Driver | 3018 S Spaulding Ave, Chicago, IL 60623-4747 | 2018-02-07 |
| 1245748425 | Sebastian Ekesa | Driver | 5321 N Winthrop Ave Fl 1, Chicago, IL 60640-2309 | 2018-01-22 |
| 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.