Provider Demographics
NPI:1932440518
Name:ORDAZ, LINDA (LMT)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:ORDAZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 FRANCISCAN WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-6228
Mailing Address - Country:US
Mailing Address - Phone:630-231-4404
Mailing Address - Fax:
Practice Address - Street 1:2001 FRANCISCAN WAY
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-6228
Practice Address - Country:US
Practice Address - Phone:630-231-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227008182172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist