Individual
LINDA MERGENTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 HAWLEY ST STE 5, GRAYSLAKE, IL 60030-3653
(847) 549-2235
Mailing address
142 HAWLEY ST STE 5, GRAYSLAKE, IL 60030-3653
(847) 549-2235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178009999
IL
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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