Ancy Zacharia
Nurse Practitioner Nurse Practitioner - Gerontology
1800 N Main St Second Floor
Wheaton
, Illinois 60187-3112
Ancy Zacharia
Nurse Practitioner Nurse Practitioner - Gerontology
1800 N Main St Second Floor
Wheaton
, Illinois 60187-3112
(630) 682-3727
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ancy Zacharia
- 1800 N Main St Second Floor
- Wheaton, IL
- Zip : 60187-3112
- Fax : (630) 682-3727
- Phone : (630) 614-4960
Second Address
- Ancy Zacharia
- 1800 N Main St Second Floor
- Wheaton, IL
- Zip : 60187-3112
- Fax : (630) 682-3727
- Phone : (630) 614-4960
Reviews
FAQs
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In what state does Ancy Zacharia practice in?
Where is Ancy Zacharia ’s practice located?
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Is Ancy Zacharia a sole practitioner?
Is Ancy Zacharia accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209000424 | IL |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 041287164 | IL |
National Provider Identifier
| NPI | 1053450494 |
|---|---|
| Provider Name | Ancy Zacharia |
| First Address | Wheaton, IL 60187-3112 |
| Second Address | Wheaton, IL 60187-3112 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2007 |
| Last Update Date | 15/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041287164 | (05) | IL |
| 208015 | MEDICARE GROUP NUMBER (01) | IL |
| 363149833 | TAX IDENTIFICATION NUMBER (01) | IL |
| CE8854 | RR MEDICARE PTAN (GROUP) (01) | IL |
| K03097 | MEDICARE PTAN (INDIVIDUAL) (01) | IL |
| P00068858 | RR MEDICARE PTAN (INDIVIDUAL) (01) | IL |
| S95211 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.