Healthcare Provider Details

I. General information

NPI: 1316600208
Provider Name (Legal Business Name): SHERIEKA A LINZY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2021
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 SIDNEY AVE UNIT B
GLENDALE HEIGHTS IL
60139-3153
US

IV. Provider business mailing address

449 SIDNEY AVE UNIT B
GLENDALE HEIGHTS IL
60139-3153
US

V. Phone/Fax

Practice location:
  • Phone: 630-440-6276
  • Fax:
Mailing address:
  • Phone: 630-440-6276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: