Amy J. Gartner,lcsw, Inc. | |
3210 Prairie View Dr Mchenry IL 60050-8014 | |
(815) 307-6056 | |
Not Available |
Full Name | Amy J. Gartner,lcsw, Inc. |
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Speciality | Social Worker |
Location | 3210 Prairie View Dr, Mchenry, Illinois |
Authorized Official Name and Position | Amy J Gartner (PRESIDENT) |
Authorized Official Contact | 8153076056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amy J. Gartner,lcsw, Inc. 8600 Us Highway 14 Suite 105 Crystal Lake IL 60012 Ph: (815) 307-6056 | Amy J. Gartner,lcsw, Inc. 3210 Prairie View Dr Mchenry IL 60050-8014 Ph: (815) 307-6056 |
NPI Number | 1609016864 |
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Provider Enumeration Date | 03/02/2009 |
Last Update Date | 03/02/2009 |
Medicare PECOS PAC ID | 4688721483 |
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Medicare Enrollment ID | O20090414000374 |
Identifier | Type | State | Issuer |
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1609016864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 149011534 (Illinois) | Primary |
Provider Name | Amy J Gartner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982841359 PECOS PAC ID: 1153478946 Enrollment ID: I20090414000354 |
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