Individual
PAULA RAE LINDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
(618) 529-0449
Mailing address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
(618) 529-0449
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-101613
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101613
—
IL
05
—
286477
—
OR
01
—
3932056
BLUE SHIELD
IL
Enumeration date
02/06/2006
Last updated
02/08/2021
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