BRUCE GARDNER
NPI 1356028633
Counselor - Mental Health in Lynwood, IL
About Bruce Gardner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRUCE GARDNER (NPI 1356028633) is an individual mental health provider in Lynwood, Illinois and active in the NPI registry since June 2023.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bruce Gardner's NPI number?
The NPI number for Bruce Gardner is 1356028633. It was assigned to this individual provider in the NPPES registry on June 29, 2023.
Where is Bruce Gardner located?
Bruce Gardner practices at 467 Linda Ln, Lynwood, IL 60411. The listed phone number is (773) 952-0492.
What is Bruce Gardner's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Bruce Gardner was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bruce Gardner · NPI 1356028633
Mental Health provider in Lynwood, Illinois. Individual provider, active in the CMS NPPES registry since June 29, 2023.
## Identity
- **NPI:** 1356028633 (Entity type: Individual)
- **Enumerated:** June 29, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 467 LINDA LN, Lynwood, IL 60411-4653
- **Phone:** (773) 952-0492
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356028633) · Data from the CMS NPPES public registry.