Provider Demographics
NPI:1861587412
Name:GILLES-ZIRBES, LINDA M (OTR)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:GILLES-ZIRBES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39035 N. HUNTINGTON BLVD.
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1608
Mailing Address - Country:US
Mailing Address - Phone:847-705-7833
Mailing Address - Fax:
Practice Address - Street 1:3935 N. HUNTINGTON BLVD.
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-1608
Practice Address - Country:US
Practice Address - Phone:847-705-7833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist