Organization Active NPI

Joanna E Lindell DO LLC

  • Psychiatry Physician
  • Northbrook, IL
National Provider Identifier
1972949931
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JOANNA E LINDELL DO LLC
Practice address
60 Revere Dr
Suite 100
Northbrook, IL 60062-1563
Phone
(224) 306-1879
Fax
(224) 306-1878
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Joanna E Lindell, DO
Title
Owner
Phone
(224) 306-1879

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

60 Revere Dr
Suite 100
Northbrook, IL 60062-1563

Mailing address

60 Revere Dr
Suite 100
Northbrook, IL 60062-1563
Phone (224) 306-1879

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1972949931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "address_2": "SUITE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563",
            "telephone_number": "224-306-1879",
            "fax_number": "224-306-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "address_2": "SUITE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563",
            "telephone_number": "224-306-1879",
            "fax_number": "224-306-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA E LINDELL DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "LINDELL",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-306-1879",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.