Provider Demographics
NPI:1871375105
Name:GARTNER, EMILY (NBC-HWC, MED)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:GARTNER
Suffix:
Gender:F
Credentials:NBC-HWC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 W WARREN BLVD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1819
Mailing Address - Country:US
Mailing Address - Phone:206-422-5194
Mailing Address - Fax:
Practice Address - Street 1:1519 W WARREN BLVD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-1819
Practice Address - Country:US
Practice Address - Phone:206-422-5194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach