Tatia M Gore

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

4850 S Lake Park Ave Apt 1708B
Chicago, IL 60615-2073

Phone

(773) 368-8333

Fax

(773) 538-4536

NPI assigned

Feb 5, 2008

Last updated

Mar 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidz Biz Early Intervention

  dba Tatia Gore

  • Early Intervention Provider Agency
  • Chicago, IL
  • NPI 1093987638
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1134307804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 S LAKE PARK AVE APT 1708B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152073",
            "telephone_number": "773-368-8333",
            "fax_number": "773-538-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S LAKE PARK AVE APT 1708B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152073",
            "telephone_number": "773-368-8333",
            "fax_number": "773-538-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "TATIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Maria Gore, M.D.
• Katherine Gore, CCC-SLP
• Robert J Gore, M.D.
• Shelly Marie Gore, LCSW
• Stephen Ryan Gore, M.D.
• Veronica Gore
• Maria Elzbieta Gorecka
• Mariam Goreish, MD
• Gleb Henri Gorelick, MD
• Philip Benjamin Gorelick, MD

• Speech-Language Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.