Individual
LINDA BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527-7594
(773) 702-1150
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006568
IL
363LA2100X
Acute Care Nurse Practitioner
209.006568
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147097
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
12/29/2008
Last updated
03/14/2014
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