Individual
MS. LAURIE ZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
525 S SCOVILLE AVE, UNIT 1, OAK PARK, IL 60304-1403
(815) 531-2222
Mailing address
525 S SCOVILLE AVE, UNIT 1, OAK PARK, IL 60304-1403
(815) 531-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011485
IL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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