Individual
MS. TATIA M GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
2355S0801X
Speech-Language Assistant
Primary
—
IL
Other
Enumeration date
02/05/2008
Last updated
03/24/2008
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