MEDICARE: KEENA M GARNER CD, PCD, CLS, MHFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)		IL
2	374J00000X	Doula		IL

General Provider Information

NPI Number	:	1629930540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEENA M GARNER CD, PCD, CLS, MHFA

Provider Business Mailing Address
First Line	:	1935 E 71ST ST APT 216
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-2099
Country	:	US
Telephone Number	:	773-354-3776
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 E 71ST ST APT 216
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-2099
Country	:	US
Telephone Number	:	773-354-3776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ KEENA M GARNER CD, PCD, CLS, MHFA” Practice Location

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