Provider Demographics
NPI:1730789249
Name:SCHILLINGER, LINDA SUE (RPH)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SUE
Last Name:SCHILLINGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6660 GODFREY RD
Mailing Address - Street 2:
Mailing Address - City:GODFREY
Mailing Address - State:IL
Mailing Address - Zip Code:62035-2219
Mailing Address - Country:US
Mailing Address - Phone:618-433-3024
Mailing Address - Fax:618-433-3009
Practice Address - Street 1:6660 GODFREY RD
Practice Address - Street 2:
Practice Address - City:GODFREY
Practice Address - State:IL
Practice Address - Zip Code:62035-2219
Practice Address - Country:US
Practice Address - Phone:618-433-3024
Practice Address - Fax:618-433-3009
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051039898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist