Healthcare Provider Details

I. General information

NPI: 1457275638
Provider Name (Legal Business Name): LINDSAY A TRUESDALE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY A PANEK

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 AKENSIDE RD
RIVERSIDE IL
60546-1811
US

IV. Provider business mailing address

111 N COUNTY FARM RD
WHEATON IL
60187-3988
US

V. Phone/Fax

Practice location:
  • Phone: 708-296-8400
  • Fax:
Mailing address:
  • Phone: 630-682-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: