Individual
THERESA ZUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1132 FLORENCE AVE, EVANSTON, IL 60202-1143
(847) 866-6144
Mailing address
5715 N RICHMOND ST, CHICAGO, IL 60659-4803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.408744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.408744
STATE OF ILLINOIS REGISTERED PROFESSIONAL NURSE
IL
Enumeration date
02/25/2014
Last updated
02/25/2014
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