Individual
LINNEA A BEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 687-9442
Mailing address
4321 N DAMEN AVE, CHICAGO, IL 60618-1705
(612) 730-3278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103725
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103725
MN LICENSURE
MN
Enumeration date
07/24/2009
Last updated
05/03/2018
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