Provider Demographics
NPI:1922150598
Name:ERNST, LINDA M (MD MHS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:ERNST
Suffix:
Gender:F
Credentials:MD MHS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE.
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-2791
Mailing Address - Fax:847-733-5314
Practice Address - Street 1:2650 RIDGE AVE.
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1718
Practice Address - Country:US
Practice Address - Phone:847-570-2791
Practice Address - Fax:847-733-5314
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2018-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036121347207ZP0213X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology