Individual
KRISTEN M ZDANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1084
(630) 829-1040
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.019891
IL
363LG0600X
Gerontology Nurse Practitioner
209.019891
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760445654
NPI
IL
Enumeration date
08/22/2019
Last updated
04/11/2023
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