Organization
KIDZ BIZ EARLY INTERVENTION
Active
Organization
KIDZ BIZ EARLY INTERVENTION
Active
Other names
Tatia Gore
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATIA M GORE (SPEECH PATHOLOGIST)
(773) 368-8333
Entity
Organization
Contact information
Practice address
4850 S LAKE PARK AVE APT 1708B, CHICAGO, IL 60615-2073
(773) 368-8333
(773) 538-4536
Mailing address
4850 S LAKE PARK AVE APT 1708B, CHICAGO, IL 60615-2073
(773) 368-8333
(773) 538-4536
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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