Lake, Linda Louise
Lake, Linda Louise is an individual health care provider with primary practice located at 120 E Ogden Ave Suite 220, Hinsdale IL 60521-3542. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lake, Linda Louise can be contacted via phone (630) 325-5300.Contact Information
Primary practice address
120 E Ogden Ave Suite 220
Hinsdale IL 60521-3542
Phone: (630) 325-5300
Fax: (630) 325-5309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1679637672 |
|---|---|
| LBN Legal business name | Lake, Linda Louise |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1679637672 | NPPES |
| Illinois | Other | 02215636 | BLUE CROSS BLUE SHIELD |
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