Individual
KIM A. LINDENMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 S PARK BLVD, SUITE 375, GLEN ELLYN, IL 60137-6280
(630) 858-4660
(630) 858-9511
Mailing address
45 S PARK BLVD, SUITE 375, GLEN ELLYN, IL 60137-6280
(630) 858-4660
(630) 858-9511
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02201780
BLUE CROSS/BLUE SHIELD
—
01
—
0888960001
DMERC
IL
01
—
4134055
AETNA
—
Enumeration date
11/21/2006
Last updated
03/05/2008
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