MEDICARE: MS. LINDA LOU KUNTNER PSY.D.

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
1	103T00000X	Psychologist		IL
2	103TM1800X	Intellectual & Developmental Disabilities Psychologist		IL

General Provider Information

NPI Number	:	1225193683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA LOU KUNTNER PSY.D.

Provider Business Mailing Address
First Line	:	21859 W LAKE DR
Second Line	:
City	:	ROUND LAKE
State	:	IL
Zip	:	60073-9605
Country	:	US
Telephone Number	:	847-223-9788
Fax Number	:	847-548-4005

Provider Business Practice Location Address
First Line	:	21859 W LAKE DR
Second Line	:
City	:	ROUND LAKE
State	:	IL
Zip	:	60073-9605
Country	:	US
Telephone Number	:	847-223-9788
Fax Number	:	847-548-4005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	09/11/2025

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