Provider Demographics
NPI:1003881988
Name:LAMBERT, LINDA SUE (DPM)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:SUE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7351 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-2214
Mailing Address - Country:US
Mailing Address - Phone:708-366-3668
Mailing Address - Fax:708-366-3662
Practice Address - Street 1:7351 LAKE ST
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-2214
Practice Address - Country:US
Practice Address - Phone:708-366-3668
Practice Address - Fax:708-366-3662
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016 004320213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
480007493OtherMEDICARE RAILROAD
4253980001OtherDMERC
60001656OtherBCBS
IL016004320Medicaid
P2182148OtherOXFORD HEALTH PLAN
4253980001OtherDMERC