IndividualActive
Lenita Gardner, CRSS,CHW
NPI 1184440273 · Peer Specialist · Richton Park, IL
Provider details
- NPI number
- 1184440273
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CRSS,CHW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
Practice location
3901 Tower Dr # B301
Richton Park, IL 60471-1340
Phone: (312) 200-4288
Approximate (ZIP-level) locationGet directions
Mailing address
3901 Tower Dr # B301
Richton Park, IL 60471-1340
Registry dates
- Enumerated
- 2024-11-23
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.