Individual
ZUZANA JACKEVICIUS KILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 E MAPLE ST, GILLESPIE, IL 62033-1473
(217) 839-1526
(217) 839-1538
Mailing address
205 OAKLAND AVE, CARLINVILLE, IL 62626-1921
(217) 854-3223
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209025228
IL
Other
Enumeration date
05/24/2022
Last updated
03/02/2026
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