NPI 1003262320

Mark Gore

Practitioner Physical Therapist Glenview, IL

Practice location

Address: 2401 Ravine Way Suite 100, Glenview, IL 60025-7645
Phone: (847) 724-4791
Fax: (847) 998-6916
Mailing address: 900 Rand Rd Suite 300, Des Plaines, IL 60016-2359

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1003262320
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2016
Record last updated: 5 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.