Provider Demographics
NPI:1942345616
Name:HOWARD, LINDA MARIE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 HAROLDS CRES
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2009
Mailing Address - Country:US
Mailing Address - Phone:708-420-6057
Mailing Address - Fax:708-798-1303
Practice Address - Street 1:3015 HAROLDS CRES
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2009
Practice Address - Country:US
Practice Address - Phone:708-420-6057
Practice Address - Fax:708-798-1303
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL222Q00000X
IL041-166528163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist