Provider Demographics
NPI:1871628602
Name:BINDER, LINDA DIANE (PT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:DIANE
Last Name:BINDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:MONSUEIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3465 BOX HILL CORPORATE CENTER DR
Practice Address - Street 2:SUITE G
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1261
Practice Address - Country:US
Practice Address - Phone:410-569-4806
Practice Address - Fax:410-569-5474
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDDA2862 P00046852OtherRAILROAD MEDICARE
MDS9550007OtherBCBS FEDERAL
MD52792303OtherBLUE CROSS BLUE SHIELD
MD928LF988Medicare ID - Type Unspecified
MDS9550007OtherBCBS FEDERAL
MDDA2862 P00046852OtherRAILROAD MEDICARE