Provider Demographics
NPI:1295841641
Name:SOSMAN, LINDA (CNM, APN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:SOSMAN
Suffix:
Gender:F
Credentials:CNM, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1201
Mailing Address - Country:US
Mailing Address - Phone:708-763-9962
Mailing Address - Fax:708-763-0987
Practice Address - Street 1:ERIE FAMILY HEALTH CENTER
Practice Address - Street 2:1701 W. SUPERIOR STREET
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-5646
Practice Address - Country:US
Practice Address - Phone:312-666-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367A00000X
IL209-003693367A00000X
IL209003693367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife