Search › Illinois › 246ZC0007X
Keshawn Gardner, CSFA
NPI 1437541190 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1248 Berry Ln
Flossmoor, IL 60422 - Phone
- (708) 215-1604
- Organisation at this address
- Chief Surgical Assistants
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 246ZC0007X
246ZC0007X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-25
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