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Contact Information

LINDA L. HINES, PH.D., PC
2213 LAKESIDE DR
BANNOCKBURN, IL60015-1265
 Phone: 847-604-9441
 Fax: 847-604-9445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
 

Professional

101YP2500X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LINDA L. HINES, PH.D., PC

NPI Number 1487872735
LBN Legal business name LINDA L. HINES, PH.D., PC
Authorized official LINDA HINES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2007
Last updated 04/04/2013 - About 13 years ago
Identifiers
IL License # 036060099
IL License # 071004060
IL License # 071005286
IL License # 071006069
IL License # 071006544
IL License # 149003472
IL License # 180.0066190
IL Other 4919478 BLUE CROSS BLUE SHIELD
IL Other 337410 LAKESIDE PSYCHOLOGY & COUNSELING SERVICES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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