Provider Demographics
NPI:1275900235
Name:GERHARDT, LINDSAY CHRISTINE (BA/ BS)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:CHRISTINE
Last Name:GERHARDT
Suffix:
Gender:F
Credentials:BA/ BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 GRANDSTAND PLACE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123
Mailing Address - Country:US
Mailing Address - Phone:847-695-0484
Mailing Address - Fax:847-695-1265
Practice Address - Street 1:1845 GRANDSTAND PLACE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-695-0484
Practice Address - Fax:847-695-1265
Is Sole Proprietor?:No
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator