Provider Demographics
NPI:1205957107
Name:VERO, LINDA A (DT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:VERO
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14525 S 135TH AVE
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-2383
Mailing Address - Country:US
Mailing Address - Phone:773-429-0203
Mailing Address - Fax:773-429-0522
Practice Address - Street 1:14525 S 135TH AVE
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-2383
Practice Address - Country:US
Practice Address - Phone:773-429-0203
Practice Address - Fax:773-429-0522
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist