Active NPI
Linda Aubergine, D.O.
- Psychiatry Physician
- Hinsdale, IL
National Provider Identifier
1972745776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0.36128657
- Practice address
- 19 N Grant St Ste 3B
Hinsdale, IL 60521-3368 - Phone
- (630) 634-4123
- Fax
- (630) 634-4123
- NPI assigned
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0.36128657 | IL | Primary |
Addresses
Primary practice location
19 N Grant St Ste 3B
Hinsdale, IL 60521-3368
Mailing address
19 N Grant St Ste 3B
Hinsdale, IL 60521-3368
Phone (630) 634-4123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 15, 2018 through Jun 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0.36128657 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1972745776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 N GRANT ST STE 3B",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213368",
"telephone_number": "630-634-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 N GRANT ST STE 3B",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213368",
"telephone_number": "630-634-4123",
"fax_number": "630-634-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBERGINE",
"first_name": "LINDA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "0.36128657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.