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NPI Code Detail

MEDICARE: BRIAR GARTNER LCSW

MEDICARE:   BRIAR  GARTNER  LCSW
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
11041C0700XClinical Social Worker149.021194IL

General Provider Information

NPI Number : 1780248666
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAR GARTNER LCSW
Provider Business Mailing Address
First Line : 5658 W PENSACOLA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-1827
Country : US
Telephone Number : 773-569-6088
Fax Number :
Provider Business Practice Location Address
First Line : 737 N MICHIGAN AVE STE 2130
Second Line :
City : CHICAGO
State : IL
Zip : 60611-6747
Country : US
Telephone Number : 773-789-9775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2019
Last Update Date : 06/04/2019

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Directions to “ BRIAR GARTNER LCSW” Practice Location

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