MR. ROBERT GARDNER II (NPI# 1790040061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790040061 |
| Entity Type | Individual |
| Full Name | MR. ROBERT GARDNER II |
| Credential | MASTER DEGREE |
| Practice Address |
3251 W 85th Pl 10336 South Western Ave Chicago IL 60652-3756 |
| Mailing Address |
3251 W 85th Pl 10336 South Western Ave. Chicago IL 60652-3756 |
| Practice Telephone | 7738918847 |
| Practice Fax Number | 7737782758 |
| Mailing Telephone | 7738918847 |
| Mailing Fax Number | 7737782758 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2016-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073001897 | Robert Andrew Gardner | Student in an Organized Health Care Education/Training Program | 230 Macnider Hall, 333 South Columbia Street, Chapel Hill, NC 27515 | 2018-04-26 |
| 1649720921 | Robert Gardner | Nutritionist | 645 Industrial Rd, Carlstadt, NJ 07072-1611 | 2016-10-10 |
| 1023325875 | Robert Ball Gardner | Audiologist | 6475 Wall St Ste 203, Colorado Springs, CO 80918-8341 | 2010-08-31 |
| 1083839302 | Robert B Gardner | Dentist | 9878 W Belleview Ave, Littleton, CO 80123-2101 | 2007-04-13 |
| 1023179850 | Robert S. Gardner | Internal Medicine | 525 College Ave, 211, Santa Rosa, CA 95404-4118 | 2006-12-13 |
| 1740375443 | Robert W Gardner | Family Medicine | 3150 Rogers Rd, Suite 101, Wake Forest, NC 27587-4195 | 2006-10-04 |
| 1295839470 | Robert William Gardner | Dentist | 4490 Indianola Ave., Columbus, OH 43214 | 2006-09-11 |
| 1346251436 | Robert E Gardner | Psychiatry & Neurology | 3250 Gordonville Rd Ste 450, Cape Girardeau, MO 63703-5031 | 2006-08-11 |
| 1932137387 | Robert Edward Gardner | Dentist | 1121 W Main St, Walnut Ridge, AR 72476-1000 | 2006-06-28 |
| 1194717801 | Robert Anthony Gardner | Internal Medicine | 2410 19th St Se, Rio Rancho, NM 87124-4857 | 2005-08-18 |
| Street Address |
3251 W 85TH PL 10336 SOUTH WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1477151942 | Mansukh Sandhu | Counselor | 8765 W Higgins Rd Ste 450, Chicago, IL 60631-4172 | 2020-10-15 |
| 1881291920 | Freddy Reyes | Counselor | 931 W Leland Ave Apt 405, Chicago, IL 60640-6611 | 2020-10-01 |
| 1508463704 | Tynisha Jointer | Counselor | 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 | 2020-10-01 |
| 1851908206 | Manqual Chambers | Counselor | 2801 S King Dr, Chicago, IL 60616-2949 | 2020-09-29 |
| 1184231672 | Francesca Cottone | Counselor | 1616 N Nordica Ave, Chicago, IL 60707-4317 | 2020-09-28 |
| 1952916322 | Elle Skelton | Counselor | 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 | 2020-09-13 |
| 1437764305 | Donita M Lester | Counselor | 7022 S South Shore Dr Apt 214, Chicago, IL 60649-2229 | 2020-09-09 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.