Linda Marie Faller, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-000187 Issued in IL

Practice address

5900 N. Glenwood Ave
School Health Center at Nicholas Senn High School
Chicago, IL 60660-3312

Phone

(773) 989-8322

Fax

(773) 989-8345

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tapestry 360 Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1407981392
  NPD (past)
• Tapestry 360 Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1932366408
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932297504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 BENNETT AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012115",
            "telephone_number": "847-328-6894",
            "fax_number": "773-989-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N. GLENWOOD AVE",
            "address_2": "SCHOOL HEALTH CENTER AT NICHOLAS SENN HIGH SCHOOL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603312",
            "telephone_number": "773-989-8322",
            "fax_number": "773-989-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLER",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-000187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki A Falk, PHD
• Rachel Judith Falk, LCSW
• Sarah Falk
• Alfreda Falkowska-Grosrenaud, M.D.
• Taya Jo Fallen, MS, CGC
• Anna B. Fallon, MSW, LCSW
• Eryn Cavanaugh Fallon, LPC
• John Duncan Fallon
• John Michael Fallon
• Kelly A Fallon, DC

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.