Individual
JOHN R LINDELL
Active
Individual
JOHN R LINDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036075387
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075387
—
IL
01
—
09015685
BLUE CROSS BLUE SHIELD
IL
01
—
110154966
RAIL ROAD MEDICARE
IL
Enumeration date
05/17/2006
Last updated
03/24/2008
Update your record
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