Individual
MRS. JENNIFER ELIZABETH ZORICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
4101 JOHN DEERE RD, MOLINE, IL 61265-6790
(309) 765-1600
(309) 765-1610
Mailing address
4101 JOHN DEERE RD, MOLINE, IL 61265-6790
(309) 765-1600
(309) 765-1610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001518
IA
363A00000X
Physician Assistant
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5100795
IA CONTROLLED SUBSTANCE
IA
Enumeration date
03/14/2006
Last updated
07/08/2007
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