Provider Demographics
NPI:1679683585
Name:BAER, LINDA G (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:G
Last Name:BAER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:G
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13011 104TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464
Mailing Address - Country:US
Mailing Address - Phone:708-448-3300
Mailing Address - Fax:708-448-6972
Practice Address - Street 1:13011 104TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464
Practice Address - Country:US
Practice Address - Phone:708-448-3300
Practice Address - Fax:708-448-6972
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
K06147Medicare ID - Type Unspecified