Kasey S Gardner (NPI# 1336567189, PAC ID# 4688957392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1336567189 |
| PAC ID by PECOS | 4688957392 |
| Professional Enrollment ID | I20170728002109 |
| Full Name | Kasey S Gardner |
| Organization Legal Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Address |
1333 W Belmont Ave Suite 200 Chicago IL 60657-5785 |
| Phone Number | 3129266146 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587576814 |
| Number of Group Practice Members | 2103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140281 | NORTHWESTERN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1333 W Belmont Ave, Suite 200, Chicago, IL 60657-5785 | 3129266146 | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Organization Legal Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Physicians | 2248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle A Young | Registered Dietitian Or Nutrition Professional | Northwestern Medical Faculty Foundation | 800 N Westmoreland Rd, Suite 201, Lake Forest, IL 60045-1687 |
| Guadalupe Rodriguez | Nurse Practitioner | Northwestern Medical Faculty Foundation | 350 S Waukegan, Suite 150, Deerfield, IL 60015-5239 |
| Walter J Liszewski | Dermatology | Northwestern Medical Faculty Foundation | 676 N St Clair, 1600 Dept of Dermatology, Chicago, IL 60611-2997 |
| Keith P Leitzen | Otolaryngology | Northwestern Medical Faculty Foundation | 800 N W Moreland Rd, Suite 102, Lake Forest, IL 60045-1687 |
| Joshua G Cahan | Neurology | Northwestern Medical Faculty Foundation | 675 N Saint Clair St, Suite 20 100, Chicago, IL 60611-5970 |
| Jennifer Lee | Ophthalmology | Northwestern Medical Faculty Foundation | 259 E Erie, Lavin 1520, Chicago, IL 60611-2987 |
| David S Burstein | Internal Medicine | Northwestern Medical Faculty Foundation | 676 N Saint Clair, Chicago, IL 60611-2927 |
| Richard R Clark | Family Medicine | Northwestern Medical Faculty Foundation | 1475 E Belvidere Rd, Pavilion C Suite 385, Grayslake, IL 60030-2026 |
| Edward J Tanner Iii | Gynecological Oncology | Northwestern Medical Faculty Foundation | 250 E Superior, 2304 Nwmff Prent Wmn Hosp, Chicago, IL 60611-2914 |
| Katie Marie Reidy | Physician Assistant | Northwestern Medical Faculty Foundation | 350 S Waukegan Rd, Deerfield, IL 60015-5239 |
| Street Address |
1333 W BELMONT AVE SUITE 200 |
| City | CHICAGO |
| State | IL |
| Zip | 60657-5785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon C Naumann | Emergency Medicine | Northwestern Medical Faculty Foundation | 1333 W Belmont Ave, Suite 100, Chicago, IL 60657-5785 |
| Stevie N Carraro | Internal Medicine | Northwestern Medical Faculty Foundation | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657-5785 |
| Meryl M Pankhurst | Psychologist, Clinical | Primary Care Psychology Associates, LLC | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657-5785 |
| Morgan Milin | Clinical Social Worker | Northwestern Medical Faculty Foundation | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657-5785 |
| Laura Donnan | Clinical Social Worker | Primary Care Psychology Associates, LLC | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657-5785 |
| Lauren J Shapiro | Psychologist, Clinical | Primary Care Psychology Associates, LLC | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657-5785 |
| Farah Ali | Clinical Psychologist | Primary Care Psychology Associates, LLC | 1333 W Belmont Ave, Chicago, IL 60657-5785 |
| Keith Robert Cole | Physical Therapy | Hands-on Sports Medicine Limited Partnership | 1333 W Belmont Ave, Chicago, IL 60657-5785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey L Frederick | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Stephanie L Lyons | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Alaina R Bandstra | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Dominic M Maino | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Thomas Cohen | Optometry | Lyons Family Eyecare PC | 3250 N Lincoln Ave, Chicago, IL 60657-1117 |
| Michael J Dubick | Chiropractic | 3250 N Lincoln Ave, Suite 1, Chicago, IL 60657-1192 | |
| Eric T Niwinski | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| Shannan M Vanantwerp | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| Lauren E Buck | Physical Therapy | Ipt Management Services, Inc | 3420 N Lincoln Ave, Chicago, IL 60657-1195 |
| James Hayes | Clinical Social Worker | 3409 N Paulina St, Chicago, IL 60657-1220 | |
| Find all physicians in zip 60657 | |||
| City | CHICAGO |
| Zip Code | 60657 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kasey S Gardner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.