Individual
BENJAMIN J GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3596
(773) 484-1000
Mailing address
1732 W 21ST PL APT 1F, CHICAGO, IL 60608-4354
(907) 351-7773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.028956
IL
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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