Bedsole, Linda
Bedsole, Linda is an individual health care provider with primary practice located at 610 N. Route 31 Suite E, Crystal Lake IL 60012-3715. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bedsole, Linda can be contacted via phone (815) 444-8469.Contact Information
Primary practice address
610 N. Route 31 Suite E
Crystal Lake IL 60012-3715
Phone: (815) 444-8469
Fax: (815) 479-1709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1588687370 |
|---|---|
| LBN Legal business name | Bedsole, Linda |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588687370 | NPPES |
| Illinois | Other | 05632073 | BLUECROSS/BLUESHIELD |
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