Gardner, Lacresha Tenisha Marie

Gardner, Lacresha Tenisha Marie is an individual health care provider with primary practice located at 8954 S Bishop St , Chicago IL 60620-4906. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Gardner, Lacresha Tenisha Marie can be contacted via phone (773) 209-9201.

Contact Information

Primary practice address
8954 S Bishop St Chicago IL 60620-4906
Phone: (773) 209-9201
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X Illinois

Profile Details

NPI number 1508499351
LBN Legal business name Gardner, Lacresha Tenisha Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2020
Last updated Feb 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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