| Linda Girardot, APRN | |
|
17901 Governors Hwy, Homewood, IL 60430-1144 | |
| (708) 799-3305 | |
| Not Available |
| Full Name | Linda Girardot |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 17901 Governors Hwy, Homewood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083392237 | NPI | - | NPPES |
| 041.237230 | Other | IL | RN |
| 300080501 | Medicaid | IN | |
| 209.027665 | Other | IL | APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28281470A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.027665 (Illinois) | Primary |
| Entity Name | Illinois Gastroenterology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Apollo Medical Group Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730934597 PECOS PAC ID: 4880036078 Enrollment ID: O20240520001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Girardot, APRN 841 Bonnie Brae Pl, River Forest, IL 60305-1509 Ph: (708) 214-5318 | Linda Girardot, APRN 17901 Governors Hwy, Homewood, IL 60430-1144 Ph: (708) 799-3305 |
Ms. Gwendolyn Barr, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1459 Olive Rd, Homewood, IL 60430 Phone: 708-799-7476 Fax: 708-799-0797 |