Provider Demographics
NPI:1023981172
Name:MARSHALL, LINDA (MS, CRC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3408 W ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60624-4338
Mailing Address - Country:US
Mailing Address - Phone:773-741-9314
Mailing Address - Fax:800-504-1936
Practice Address - Street 1:3408 W ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60624-4338
Practice Address - Country:US
Practice Address - Phone:773-741-9314
Practice Address - Fax:800-504-1936
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor