Provider Demographics
NPI:1346406162
Name:BUIER, LINDA WHEELESS (APN/PNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:WHEELESS
Last Name:BUIER
Suffix:
Gender:F
Credentials:APN/PNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:ANN
Other - Last Name:WHEELESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN APN
Mailing Address - Street 1:15 TOWER COURT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031
Mailing Address - Country:US
Mailing Address - Phone:847-244-1375
Mailing Address - Fax:847-244-1002
Practice Address - Street 1:15 TOWER CT
Practice Address - Street 2:SUITE 100
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3336
Practice Address - Country:US
Practice Address - Phone:847-244-1375
Practice Address - Fax:847-244-1002
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-002646363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics