Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bruce Gardner

Individual provider Mental Health Counselor · NPI 1356028633

Bruce Gardner is a Mental Health Counselor in Lynwood, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

467 Linda Ln
Lynwood, IL 60411-4653
Phone: (773) 952-0492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1356028633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address14014 Park Ave, Dolton, IL 60419-1029

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