Provider Demographics
NPI:1437489713
Name:BRONSKI, LINDA CHRISTIME (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:CHRISTIME
Last Name:BRONSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4223 N MARMORA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-1738
Mailing Address - Country:US
Mailing Address - Phone:773-283-4762
Mailing Address - Fax:
Practice Address - Street 1:FIFTH AVE AND ROOSEVELT AVE BLDG 228
Practice Address - Street 2:EDWARD HINES JR VA HOSPITAL
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-2084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490038461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical