Individual
LINDA LOUISE DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1035 CAMPUS DR, MUNDELEIN, IL 60060-3834
(847) 816-3007
(847) 680-9391
Mailing address
1770 IOWA AVE STE 280, RIVERSIDE, CA 92507-7401
(951) 786-0801
(847) 680-9391
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036076744
IL
2085R0202X
Diagnostic Radiology Physician
35-087115
OH
2085R0202X
Diagnostic Radiology Physician
C1-0025678
DE
2085U0001X
Diagnostic Ultrasound Physician
01060862A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036076744
BLUE SHIELD
IL
05
—
036076744
—
IL
Enumeration date
12/05/2005
Last updated
08/19/2024
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