Individual
LENITA W GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRSS,CHW
Contact information
Practice address
3901 TOWER DR # B301, RICHTON PARK, IL 60471-1340
(312) 200-4288
Mailing address
3901 TOWER DR # B301, RICHTON PARK, IL 60471-1340
(312) 200-4288
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
IL
175T00000X
Peer Specialist
Primary
38624
IL
Other
Enumeration date
11/23/2024
Last updated
12/30/2024
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