| Doctor Name: | MARY LINDQUIST |
| NPI Number: | 1710259148 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN-BC, BSN, QMHP |
| License Number: | 041.260601 |
| Business Practice Address: | 1705 College Ave Carmi, IL - 628212258 |
| Business Phone Number: | 6183827311 |
| Business Fax Number: | |
| Mailing Address: | 1412 Us Highway 45 N, ELDORADO |
| State: | IL |
| Postal Code: | 629303766 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2012 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 041.260601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |