MEDICARE: JENNIFER M GORMAN MS, SSP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	2009737	IL

General Provider Information

NPI Number	:	1205452596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER M GORMAN MS, SSP

Provider Business Mailing Address
First Line	:	9162 GREENCASTLE LN
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-3235
Country	:	US
Telephone Number	:	217-778-0136
Fax Number	:

Provider Business Practice Location Address
First Line	:	6509 POWELL ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2721
Country	:	US
Telephone Number	:	630-719-5850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	06/22/2020

Similar Medicare Providers

1376551465 — MRS. MICHELLE LEE SCHMIDT OTR/L
Practice Location Address:

6509 POWELL ST
DOWNERS GROVE, IL
60516-2721

Practice Phone: 630-719-5850
Practice Fax:

1841831278 — KATE BLACKBURN
Practice Location Address:

6509 POWELL ST
DOWNERS GROVE, IL
60516-2721

Practice Phone: 630-719-5850
Practice Fax:

1104940618 — CAL DEVON URGENT CARE INC
Practice Location Address:

6208 OAKTON ST
MORTON GROVE, IL
60053-2721

Practice Phone: 773-262-5400
Practice Fax:

1528229861 — CAL DEVON URGENT CARE INC
Practice Location Address:

6208 OAKTON ST
MORTON GROVE, IL
60053-2721

Practice Phone: 773-262-5400
Practice Fax:

1477888550 — NORMAN SMITH
Practice Location Address:

2721 A ST , #121
FOREST GROVE, OR
97116-1444

Practice Phone: 208-412-1445
Practice Fax:

1568725331 — DANA CAMERON R.N.
Practice Location Address:

7 PINE ST
LAKE GROVE, NY
11755-2721

Practice Phone: 631-774-2246
Practice Fax:

Directions to “ JENNIFER M GORMAN MS, SSP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.