SearchIllinois1041C0700X

Debbie Gardner

NPI 1427818657 · on the registry since 2024 · sole proprietor

Practice

Address
132 Bowman St
Matteson, IL 60443
Phone
(708) 822-5437

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
104100000X
171M00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois