MS. TERESA K GORDON III
NPI 1023115920
Driver in Chicago, IL

Active since September 20, 2006
3625 S LAKE PARK AVE, #1107, CHICAGO, IL 60653(773) 538-1637 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Teresa K Gordon Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TERESA K GORDON III (NPI 1023115920) is an individual driver provider in Chicago, Illinois, licensed in Illinois (172A00000X) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1023115920
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameMS. TERESA K GORDON III
Location Address3625 S LAKE PARK AVE, #1107Chicago, IL 60653-1468
Mailing Address3625 S Lake Park Ave, #1107Chicago, IL 60653-1468 · (773) 538-1637
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1023115920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in IL · 172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
3625 S LAKE PARK AVE, Chicago, IL 60653

Other Names 1

Other Name (5)Ms. Teresa K Gordon

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Gordon's NPI number?

The NPI number for Teresa Gordon is 1023115920. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Ms. Teresa K Gordon.

Where is Teresa Gordon located?

Teresa Gordon practices at 3625 S Lake Park Ave #1107, Chicago, IL 60653. The listed phone number is (773) 538-1637.

What is Teresa Gordon's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Teresa Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.