ARLENE GARDNER (NPI# 1871751396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871751396 |
| Entity Type | Individual |
| Full Name | ARLENE GARDNER |
| Credential | MS |
| Practice Address |
16107 Lasalle Street South Holland IL 60473 |
| Mailing Address |
15127 S. 73rd Ave Ste. G Orland Park IL 60462 |
| Practice Telephone | 7085969555 |
| Practice Fax Number | 7085969553 |
| Mailing Telephone | 7088455500 |
| Mailing Fax Number | 7088455505 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2009-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1124270889 | Arlene Gardner | Registered Nurse | 520 Tukwila Dr, Woodburn, OR 97071-7673 | 2008-10-14 |
| Street Address |
16107 LASALLE STREET |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619356540 | Shawna Sapp | Social Worker | 16107 Lasalle Street, South Holland, IL 60473 | 2015-05-26 |
| 1639508534 | Ginnette Yonkman | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2013-11-01 |
| 1710227145 | Ellamonique Baccus | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2013-02-21 |
| 1336425776 | Patricia Smith-huntoon | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2011-10-31 |
| 1548563547 | Lynetta F Busen | Social Worker | 16107 Lasalle Street, South Holland, IL 60473-2260 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| 1790906352 | Gail Landry | Occupational Therapist | 430 E. 162 Street, Suite 246, South Holland, IL 60473 | 2007-05-01 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114432564 | Anthony Olujimi | Counselor | 15475 S Park Ave Ste 109, South Holland, IL 60473-1377 | 2017-12-07 |
| 1245424001 | Sabrina Peden | Counselor | 16408 School St, South Holland, IL 60473-2321 | 2007-09-04 |
| 1255543344 | Medco Physicians Unlimited Inc | Counselor | 16260 Louis Ave, Suite 736, South Holland, IL 60473-5201 | 2007-05-03 |
| 1164587275 | Tracey C Adams | Counselor | 16162 Ellis Ave, Unit 1 South, South Holland, IL 60473-1700 | 2006-12-27 |
| 1154423861 | Grover Jerome Davis | Counselor | 15475 S Park Ave Ste 102b, South Holland, IL 60473-1378 | 2006-09-02 |
| 1003427808 | Robert E Smith | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-08-14 |
| 1558972356 | Ollie Harris-muse | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-08-14 |
| 1376169771 | Cassandra Ulysse | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-06-22 |
| 1548899040 | Etta Martinez | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-04-06 |
| 1417585431 | Daphne Riley | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-03-27 |
| Find all providers in SOUTH HOLLAND | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
Please comment or provide details below to improve the information on ARLENE GARDNER.
| 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.