Healthcare Provider Details

I. General information

NPI: 1447323712
Provider Name (Legal Business Name): LINDA HILDERBRANT BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA MEEK

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 HEALTH SERVICES DR
DEKALB IL
60115-9637
US

IV. Provider business mailing address

48W441 LENSCHOW RD
HAMPSHIRE IL
60140-8670
US

V. Phone/Fax

Practice location:
  • Phone: 815-756-4875
  • Fax: 815-756-2944
Mailing address:
  • Phone: 847-683-2122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: