| Leslie Gardner, CNM, APN | |
|
2418 W Division St, Chicago, IL 60622-2940 | |
| (312) 666-3494 | |
| (312) 666-6228 |
| Full Name | Leslie Gardner |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2418 W Division St, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548352479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 209002127 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | 209-002127 (Illinois) | Primary |
| Entity Name | Erie Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Gardner, CNM, APN 2018 W Bradley Pl, Chicago, IL 60618-4908 Ph: (773) 244-0509 | Leslie Gardner, CNM, APN 2418 W Division St, Chicago, IL 60622-2940 Ph: (312) 666-3494 |
Kaelyn Carroll, RN, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 |
Jacqueline S Ma, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 Fax: 312-829-6375 |
Tracy A Abraham, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1220 S Wood St, Chicago, IL 60608 Phone: 312-996-2000 Fax: 312-413-2026 |
Christina Volkening, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 |
Jayme Lea Henderson, DNP, APRN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2875 W 19th St, Chicago, IL 60623 Phone: 773-484-4030 |
Rashidah Abdullah, CNM, RN, CBC, CLC Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1536 N Laramie Ave, Chicago, IL 60651 Phone: 708-359-9951 |
Simone E Rowen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1701 W Superior St Fl 2, Chicago, IL 60622 Phone: 312-666-3494 |