Individual
EVELINA ZIEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6099
(219) 886-4000
Mailing address
5601 S ASHLAND AVE, COUNTRYSIDE, IL 60525-3510
(708) 833-2661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003880A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
11/09/2021
Last updated
10/30/2023
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