DR. LINDA BEDSOLE (NPI# 1588687370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588687370 |
| Entity Type | Individual |
| Full Name | DR. LINDA BEDSOLE |
| Credential | PSY.D. |
| Practice Address |
610 N. Route 31 Suite E Crystal Lake IL 60012-3715 |
| Practice Telephone | 8154448469 |
| Practice Fax Number | 8154791709 |
| Mailing Telephone | 8154448469 |
| Mailing Fax Number | 8154791709 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUECROSS/BLUESHIELD | 05632073 | 01 |
| Street Address |
610 N. ROUTE 31 SUITE E |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60012-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316195654 | Vicki Arnold Santos | Psychologist | 610 N. Route 31, Suite E, Crystal Lake, IL 60012 | 2008-08-28 |
| 1295758092 | Creative Psychology, Ltd. | Psychologist | 610 N. Route 31, Suite E, Crystal Lake, IL 60012-3715 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1285972331 | Lauren Elyse Westerman | Physical Therapist | 1000 Brighton Ln, Crystal Lake, IL 60012 | 2013-01-24 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1639452188 | Laura Jean Galles | Pharmacist | 315 N. Routet 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1356469803 | Donn Orien Humphries | Chiropractor | 690 N Route 31, Suite F, Crystal Lake, IL 60012 | 2007-03-26 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1356488415 | Charlotte Joy Parcels | Social Worker | 8600 Route 14, Suite 110, Crystal Lake, IL 60012 | 2007-01-30 |
| Find all providers in zip 60012 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356468771 | Debra K.hirschberg and Associates, Inc. | Psychologist | 185 Heritage Dr # 1, Crystal Lake, IL 60014-8068 | 2007-03-22 |
| 1235278342 | Edward Baxter Rusin | Psychologist | 7009 Crystal Springs Road, Crystal Lake, IL 60012-1154 | 2007-02-05 |
| 1487736690 | Glenn B Gelman | Psychologist | 14 Brink St, Crystal Lake, IL 60014-4302 | 2006-10-19 |
| 1740388487 | Michael T Burns | Psychologist | 610-3 Crystal Point Drive, Crystal Lake, IL 60014 | 2006-09-20 |
| 1467556589 | Kenneth E Heinrichs | Psychologist | 755 E. Mcardle Drive, Suite E, Crystal Lake, IL 60014-1717 | 2006-09-11 |
| 1386748796 | Lockwood Psychological Services Ltd | Psychologist | 453 Coventry Ln, Suite 103a, Crystal Lake, IL 60014-7504 | 2006-09-08 |
| 1881704708 | Michelle Lynne Mcclellan | Psychologist | 330 West Terra Cotta Ave #9, Crystal Lake, IL 60014 | 2006-08-30 |
| 1225060353 | Margarete A. Ronnett | Psychologist | 3319 Shadowood Dr, Crystal Lake, IL 60012-1337 | 2006-07-07 |
| 1477515138 | Barbara K. Fetzer | Psychologist | 95 Grant St, Suite 215, Crystal Lake, IL 60014-4394 | 2006-04-06 |
| 1689100232 | Timothy J. Hayes, Psy.d.p.c. | Psychologist | 800 S Mchenry Ave, Suite B, Crystal Lake, IL 60014-7487 | 2017-05-02 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
Please comment or provide details below to improve the information on DR. LINDA BEDSOLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.