Provider Demographics
NPI:1366083271
Name:MCBRIDE-LINDSEY, SHARON
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:MCBRIDE-LINDSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12337 S ABERDEEN ST
Mailing Address - Street 2:
Mailing Address - City:CALUMET PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60827-5803
Mailing Address - Country:US
Mailing Address - Phone:708-577-0870
Mailing Address - Fax:773-660-4295
Practice Address - Street 1:12337 S ABERDEEN ST
Practice Address - Street 2:
Practice Address - City:CALUMET PARK
Practice Address - State:IL
Practice Address - Zip Code:60827-5803
Practice Address - Country:US
Practice Address - Phone:708-577-0870
Practice Address - Fax:773-660-4295
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider