Active NPI
Linda Henriksen, M.D.,S.C.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1215152210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036071749
- Legal business name
- LINDA HENRIKSEN, M.D.,S.C.
- Practice address
- 7447 W Talcott Ave
Suite #327
Chicago, IL 60631-3745 - Phone
- (773) 763-1344
- Fax
- (773) 763-4313
- NPI assigned
- Apr 16, 2007
- Last updated
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda Henriksen, M.D., S.C.
- Title
- President
- Phone
- (773) 763-1344
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036071749 | IL | Primary |
Addresses
Primary practice location
7447 W Talcott Ave
Suite #327
Chicago, IL 60631-3745
Mailing address
7447 W Talcott Ave
Suite #327
Chicago, IL 60631-3745
Phone (773) 763-1344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080151075 | Other | IL | RAILROAD MEDICARE |
| 31603353 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Henriksen Medical Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lake in the Hills, IL
- NPI 1578599510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1215152210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "SUITE #327",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-763-1344",
"fax_number": "773-763-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "SUITE #327",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-763-1344",
"fax_number": "773-763-4313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA HENRIKSEN, M.D.,S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "HENRIKSEN",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-763-1344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., S.C."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036071749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080151075",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31603353",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Henriksen Medical Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- Catherine Lind
- Milea Lind
- Linda & Jessie Care Homes Inc. (L & J Behavior Care Homes)
- Linda D Rice PHD Abpp PC (Neuropsychology and Cognitive Rehabilitation Associates of Chicago)
- Linda F Gruenberg DO SC
- Linda L. Michaels, PSYD, Mba, PLLC
- Linda T Stewart MD
- Linda's Pharmacy, Inc
- Grace Alexandra Lindahl, MA
- Kristin E. Lindaman, MT-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.