Provider Demographics
NPI:1619077328
Name:BATEK, LINDA SPANGLER (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:SPANGLER
Last Name:BATEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:625 TAYLOR DR
Mailing Address - Street 2:PO BOX 357
Mailing Address - City:CHILLICOTHE
Mailing Address - State:IL
Mailing Address - Zip Code:61523-1375
Mailing Address - Country:US
Mailing Address - Phone:309-274-4176
Mailing Address - Fax:
Practice Address - Street 1:EATING DISORDERS CLINIC
Practice Address - Street 2:530 NE GLEN OAK AVE.
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-0001
Practice Address - Country:US
Practice Address - Phone:309-655-2000
Practice Address - Fax:309-655-7869
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE62225Medicare ID - Type Unspecified