| NPI | 1093987638 |
|---|---|
| Doing Business As | TATIA GORE |
| Entity Type | Organization |
| Authorized Contact | TATIA M GORE Speech Pathologist 773-368-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |