Provider Demographics
NPI:1568679363
Name:HALE, LINDA GAYLE (APN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:GAYLE
Last Name:HALE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:CHAPMAN
Other - Last Name:HALE0
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:2924 N LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60087-2948
Mailing Address - Country:US
Mailing Address - Phone:847-336-7859
Mailing Address - Fax:
Practice Address - Street 1:446 E ONTARIO ST
Practice Address - Street 2:SUITE 6-346
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4418
Practice Address - Country:US
Practice Address - Phone:312-926-8200
Practice Address - Fax:312-926-6833
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health