Provider Demographics
NPI:1851450779
Name:OSTER, LINDA ANN (DDS)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ANN
Last Name:OSTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:127 N MARION STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301
Mailing Address - Country:US
Mailing Address - Phone:708-386-4222
Mailing Address - Fax:708-763-8722
Practice Address - Street 1:127 N MARION STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301
Practice Address - Country:US
Practice Address - Phone:708-386-4222
Practice Address - Fax:708-763-8722
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1851450779171100000X
IL0190192451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No171100000XOther Service ProvidersAcupuncturist