Provider Demographics
NPI:1073832002
Name:LINDA ROBERTS & ASSOCIATES INC
Entity Type:Organization
Organization Name:LINDA ROBERTS & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:630-752-8823
Mailing Address - Street 1:104 E ROOSEVELT ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5200
Mailing Address - Country:US
Mailing Address - Phone:630-752-8823
Mailing Address - Fax:630-480-0057
Practice Address - Street 1:104 E ROOSEVELT ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5200
Practice Address - Country:US
Practice Address - Phone:630-752-8823
Practice Address - Fax:630-480-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty