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Organization
LINDA HENRIKSEN, M.D.,S.C.
Active
Organization
LINDA HENRIKSEN, M.D.,S.C.
Active
Other names
Henriksen Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA HENRIKSEN M.D., S.C. (PRESIDENT)
(773) 763-1344
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE #327, CHICAGO, IL 60631-3745
(773) 763-1344
(773) 763-4313
Mailing address
7447 W TALCOTT AVE, SUITE #327, CHICAGO, IL 60631-3745
(773) 763-1344
(773) 763-4313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036071749
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080151075
RAILROAD MEDICARE
IL
01
—
31603353
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/16/2007
Last updated
04/24/2008
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