Doctor Name: | MARGARET M GARSTKA |
NPI Number: | 1124391073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 085000970 |
Business Practice Address: | 11900 Southwest Hwy Palos Park, IL - 604641200 |
Business Phone Number: | 7082744900 |
Business Fax Number: | 7082744949 |
Mailing Address: | 700 E Ogden Ave, Suite 304 WESTMONT |
State: | IL |
Postal Code: | 605591398 |
Phone Number: | 8668715737 |
Fax Number: | 6305220843 |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 085000970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |