Individual
LINDA GIRARDOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17901 GOVERNORS HWY, HOMEWOOD, IL 60430-1144
(708) 799-3305
Mailing address
841 BONNIE BRAE PL, RIVER FOREST, IL 60305-1509
(708) 214-5318
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.027665
IL
367500000X
Certified Registered Nurse Anesthetist
28281470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.237230
RN
IL
01
—
209.027665
APRN LICENSE
IL
05
—
300080501
—
IN
Enumeration date
07/07/2023
Last updated
03/06/2025
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