Provider Demographics
NPI:1487743373
Name:SLEDGE, LINDA (APRN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SLEDGE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9332 S ADA ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-3605
Mailing Address - Country:US
Mailing Address - Phone:773-905-8043
Mailing Address - Fax:
Practice Address - Street 1:201 EAST PARK STREET
Practice Address - Street 2:NEUROBEHAVIORAL HEALTH CONNECTIONS, LTD.
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060
Practice Address - Country:US
Practice Address - Phone:847-566-0164
Practice Address - Fax:847-566-0375
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health