Lori Michelle Gordon in Chicago - Developmental Therapist

Lori Michelle Gordon - NPI 1306034632

Lori Michelle Gordon is a Developmental Therapist in Chicago, Illinois. Lori Michelle Gordon practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Lori Michelle Gordon is 1306034632. The last update date is 2007-10-11.

Lori Michelle Gordon's current location address is 1120 N. Lasalle Dr., Chicago, Illinois. You can contact this provider via phone number 3126422789. The mailing address for Lori Michelle Gordon is 1120 N. Lasalle Dr., Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Lori Michelle Gordon
Address 1120 N. Lasalle Dr., Chicago, Illinois
Phone Number 3126422789
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1306034632
Provider Enumeration Date 2007-10-11
Last Updated Date 2007-10-11

Provider Mailing Address Detail

Address 1120 N. Lasalle Dr.
City Chicago
State Illinois (IL)
Post Code 606102685
Phone Number 3126422789
Fax Number

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Definition:
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education

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FAQs about Lori Michelle Gordon

What is the Lori Michelle Gordon's 1306034632?

The Lori Michelle Gordon's NPI (National Provider Identifier) Number is 1306034632. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lori Michelle Gordon is located?

The Lori Michelle Gordon is situated at the following address: 1120 N. Lasalle Dr., Chicago, IL, 606102685.

What is Lori Michelle Gordon's area of expertise and its corresponding taxonomy classification?

The Lori Michelle Gordon's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Lori Michelle Gordon receive its 1306034632 assignment from the Centers for Medicare & Medicaid Services?

The Lori Michelle Gordon was assigned its 1306034632 on 2007-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Lori Michelle Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lori Michelle Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-11.

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