Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 209-003928 | IL |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209-003928 | IL |
NPI | 1366629230 |
---|---|
Provider Name | Ms. Linda Beth Zekas |
First Address | Chicago, IL 60611-2605 |
Second Address | Chicago, IL 60611-2991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 16/05/2013 |