Individual
DR. LINDA A TACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5114 MID AMERICA PLZ, STE 2C, SAINT LOUIS, MO 63129-0003
(314) 859-4000
(314) 273-4110
Mailing address
PO BOX 7412051, CHICAGO, IL 60674-2051
(314) 859-4000
(314) 273-4110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103626
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208556605
—
MO
Enumeration date
07/07/2006
Last updated
04/18/2025
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