Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 036-129957 | IL |
N | 207KA0200X | Allergist | 59927 | MN |
N | 208000000X | Pediatrician | 125-56138 | IL |
NPI | 1003041476 |
---|---|
Provider Name | Kevin D Lindgren |
First Address | Oak Park, IL 60304-2808 |
Second Address | Oak Park, IL 60304-2808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2009 |
Last Update Date | 27/09/2018 |