Bather-Gardner, Melody

Bather-Gardner, Melody is an sole proprietor health care provider with primary practice located at 2020 W Harrison St 226, Chicago IL 60612-3741. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bather-Gardner, Melody can be contacted via phone (312) 572-4518.

Contact Information

Primary practice address
2020 W Harrison St 226 Chicago IL 60612-3741
Phone: (312) 572-4518
Fax: (312) 572-4518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1215107438
LBN Legal business name Bather-Gardner, Melody
Credentials MA, MISA II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2008
Last updated Mar 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215107438 NPPES
Illinois Other 19258 IAODAPCA

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