LINDA PETERSON NPI 1396202008

NPI Information

NPI: 1396202008
Provider Name: LINDA PETERSON
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1909 CHEKER SQ
EAST HAZEL CREST, IL
ZIP 60429
Phone: (708) 647-3333
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Linda Peterson is a professional counselor in East Hazel Crest, IL. Linda Peterson NPI is 1396202008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1909 CHEKER SQ
EAST HAZEL CREST, IL
ZIP 60429-442
Phone: (708) 647-3333

The enumeration date for this NPI number is 2/28/2019 and was last updated on 2/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	178013293	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	178013293	OTHER	ILLINOIS	ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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