Organization
CHRISTI LGARDNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI L GARDNER LCSW, CADC (OWNER)
(773) 359-3505
Entity
Organization
Contact information
Practice address
6033 N SHERIDAN RD # CW04S-02, CHICAGO, IL 60660-3003
(773) 359-3505
(877) 505-2823
Mailing address
6325 N SHERIDAN RD APT 804, CHICAGO, IL 60660-5708
(773) 793-5559
(877) 505-2823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149006362
IL
1041C0700X
Clinical Social Worker
Primary
149018427
IL
Other
Enumeration date
10/18/2017
Last updated
11/06/2017
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