Park, Linda Grace

Park, Linda Grace is an individual health care provider with primary practice located at 733 Ascot Ct , Hoffman Estates IL 60194-2769. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Park, Linda Grace can be contacted via phone (847) 519-0830.

Contact Information

Primary practice address
733 Ascot Ct Hoffman Estates IL 60194-2769
Phone: (847) 519-0830
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Illinois

Profile Details

NPI number 1174558928
LBN Legal business name Park, Linda Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1174558928 NPPES
Illinois MEDICAID K21789

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