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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