Individual
MRS. LINDA J BIDDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP RN, BC
Contact information
Practice address
2524 FARRAGUT DR # C, SPRINGFIELD, IL 62704-8400
(217) 698-3505
(217) 698-3502
Mailing address
9138 N TIMBER LN, PEORIA, IL 61615-1449
(309) 691-7879
(217) 872-1704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005832068
BC BS GROUP
IL
01
—
1326069014
NPI INDIVIDUAL
IL
01
—
1528084266
GROUP NPI
IL
01
—
DE5770
RR MEDICARE GROUP
IL
01
—
P00301784
INDIVIDUAL RR MEDICARE NO
IL
Enumeration date
07/21/2006
Last updated
07/09/2007
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