Individual
MISS MAUREEN SARES ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1243 RICKERT DR, NAPERVILLE, IL 60540-0954
(630) 527-6450
Mailing address
1243 RICKERT DR, NAPERVILLE, IL 60540-0954
(630) 527-6450
(630) 527-6456
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.018738
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041.340281
—
IL
Enumeration date
10/08/2018
Last updated
02/11/2019
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