Provider Demographics
NPI:1881822955
Name:MEINDLE, SHARON LYNNE (DPT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNNE
Last Name:MEINDLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LYNNE
Other - Last Name:BARTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1240 IROQUOIS AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8540
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:
Practice Address - Street 1:1240 IROQUOIS AVE
Practice Address - Street 2:STE 400
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8540
Practice Address - Country:US
Practice Address - Phone:630-369-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017187225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL216860008Medicare PIN
IL212608003Medicare PIN
IL205782010Medicare PIN
IL211082006Medicare PIN
IL202845036Medicare PIN