Individual
LINDEN R PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 LINCOLNSHIRE DR STE G, MOUNT VERNON, IL 62864-2189
(618) 244-6770
(618) 244-6772
Mailing address
4230 LINCOLNSHIRE DR STE G, MOUNT VERNON, IL 62864-2189
(618) 244-6770
(618) 244-6772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036063418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063418
—
IL
01
—
04127526
BCBS
IL
01
—
080168274
MEDICARE RAILROAD NUMBER
IL
01
—
174857
HEALTHLINK PPO HMO
IL
Enumeration date
12/12/2006
Last updated
08/12/2015
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