Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209006079 | IL |
NPI | 1003845678 |
---|---|
Provider Name | Ms. Margaret Ann Zielinski |
First Address | Highland Park, IL 60035-3297 |
Second Address | Highland Park, IL 60035-3297 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 20/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q70447 | (02) | IL |