Individual
MARY ANN ZERVAKIS-BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, 3RD FLOOR - 3200W, MC515, CHICAGO, IL 60612-7232
(312) 996-4020
(312) 996-4019
Mailing address
1740 W TAYLOR ST, 3RD FLOOR - 3200W, MC515, CHICAGO, IL 60612-7232
(312) 996-4020
(312) 996-4019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041253437
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209005895
IL
Other
Enumeration date
10/19/2006
Last updated
08/26/2016
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