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NPI Code Detail

MEDICARE: LINDA OSTLUND LCPC

MEDICARE:   LINDA  OSTLUND  LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor180.009370IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194247957
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA OSTLUND LCPC
Provider Business Mailing Address
First Line : 2032 N CLYBOURN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-4051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2032 N CLYBOURN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-4051
Country : US
Telephone Number : 773-929-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2017
Last Update Date : 07/13/2017

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Directions to “ LINDA OSTLUND LCPC” Practice Location

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