Provider Demographics
NPI:1902090772
Name:FLAJNIK-PETER, LINDA ANNE (R N)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:ANNE
Last Name:FLAJNIK-PETER
Suffix:
Gender:F
Credentials:R N
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:ANN
Other - Last Name:FLAJNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1543 SUFFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-3743
Mailing Address - Country:US
Mailing Address - Phone:708-612-0443
Mailing Address - Fax:
Practice Address - Street 1:1543 SUFFOLK AVE
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-3743
Practice Address - Country:US
Practice Address - Phone:708-612-0443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel