Individual provider · Type 1 NPI

Tamar Gordis

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1760063358 Active · reactivated Jun 19, 2023

Practice location

600 S Paulina St Ste 403
Chicago, IL 60612-3806

Call (312) 942-0312 Map

Other practice locations

  • 440 W End Ave, New York, NY 10024-5358 · (347) 920-6877

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X125082437 (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760063358

Tamar Gordis's National Provider Identifier is 1760063358, issued on Apr 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Jun 30, 2023.