Individual
LEOR ZADAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
250 E SUPERIOR ST STE 5-2322, CHICAGO, IL 60611-2914
(312) 926-3411
(312) 926-8430
Mailing address
250 E SUPERIOR ST STE 5-2322, CHICAGO, IL 60611-2914
(312) 926-3411
(312) 926-8430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027047
IL
363LF0000X
Family Nurse Practitioner
209.027047
IL
Other
Enumeration date
03/14/2023
Last updated
12/05/2024
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