Provider Demographics
NPI:1275620775
Name:MILLON, LINDA LOU (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LOU
Last Name:MILLON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 WINNETKA AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-4206
Mailing Address - Country:US
Mailing Address - Phone:847-501-3636
Mailing Address - Fax:
Practice Address - Street 1:460 WINNETKA AVE STE 9
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-4206
Practice Address - Country:US
Practice Address - Phone:847-501-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical