Thomas W Gore in Chicago - Family Medicine

Thomas W Gore - NPI 1770511701

Thomas W Gore is a Family Medicine in Chicago, Illinois. Thomas W Gore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Thomas W Gore is 1770511701. The last update date is 2013-11-04.

Thomas W Gore's current location address is 2537 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 6169888220 and fax number 6162850846. The mailing address for Thomas W Gore is 2537 Momentum Pl, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas W Gore
Address 2537 Momentum Pl, Chicago, Illinois
Phone Number 6169888220
Fax Number 6162850846
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1770511701
Provider Enumeration Date 2006-06-29
Last Updated Date 2013-11-04

Provider Mailing Address Detail

Address 2537 Momentum Pl
City Chicago
State Illinois (IL)
Post Code 606895325
Phone Number 6169888220
Fax Number 6162850846

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD027389E
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
670028 MI BCBSM PIN

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FAQs about Thomas W Gore

What is the unique 10-digit identifier code assigned to Thomas W Gore by the Centers for Medicare & Medicaid Services?

The Thomas W Gore has been issued the NPI (National Provider Identifier) 1770511701 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Thomas W Gore is located?

The Thomas W Gore is situated at the following address: 2537 Momentum Pl, Chicago, IL, 606895325.

What is Thomas W Gore's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thomas W Gore's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1770511701 to Thomas W Gore?

The Thomas W Gore received its 1770511701 assignment from the Centers for Medicare & Medicaid Services on 2006-06-29.

As of what date were the details pertaining to Thomas W Gore last refreshed?

The information related to the Thomas W Gore, including its address, specialty, and other relevant details, was last updated on 2013-11-04.

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