Most Relevant Information
Provider Data
| NPI Number: | 1003262320 |
| Provider Name: | MARK GORE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/05/2016 |
| Last Updated: | 05/05/2016 |
Provider Practice Location
2401 RAVINE WAY
SUITE 100
GLENVIEW
IL
600257645
Practice Location Phone/Fax
| Phone: | 8477244791 |
| Fax: | 8479986916 |
Provider Mailing Location
900 RAND RD
SUITE 300
DES PLAINES
IL
600162359
Provider Mailing Phone/Fax
| Phone: | 8473243976 |
| Fax: | 8479291154 |