Individual
MRS. JILL COLLEEN ZUPANSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
500 PARK AVE STE 104, LAKE VILLA, IL 60046-6550
(847) 245-8700
Mailing address
3909 CEDAR CREEK DR, JOHNSBURG, IL 60051-6367
(847) 561-0997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023470
IL
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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