Garner, Ivory

Garner, Ivory is an individual health care provider with primary practice located at 42 W Madison St , Chicago IL 60602-4309. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Garner, Ivory can be contacted via phone (773) 553-1800.

Contact Information

Primary practice address
42 W Madison St Chicago IL 60602-4309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1124717772
LBN Legal business name Garner, Ivory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2023
Last updated May 1st, 2023 - about 2 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 1124717772 NPPES
Illinois Other 2437059 ISBE

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