Provider Demographics
NPI:1285620898
Name:HEALD, LYNN M (APN)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:M
Last Name:HEALD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 S TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1623
Mailing Address - Country:US
Mailing Address - Phone:773-880-4666
Mailing Address - Fax:773-975-8522
Practice Address - Street 1:707 W FULLERTON AVE
Practice Address - Street 2:BOX 155
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2680
Practice Address - Country:US
Practice Address - Phone:773-880-4666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-005553163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics