Individual
DR. ANCA IOANA ZEGREAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1272 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(847) 549-7222
(847) 549-7260
Mailing address
210 S DESPLAINES ST, CHICAGO, IL 60661-5500
(312) 654-2720
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036125012
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295720449
GROUP ORGANIZATION NPI
WV
05
—
3810026117
—
WV
01
—
4000438000
GROUP ORGANIZATION MEDICAID NUMBER
WV
01
—
RE9310001
GROUP ORGANIZATION PTAN
WV
01
—
WV2871A
MEDICARE PTAN
WV
Enumeration date
04/08/2009
Last updated
11/22/2024
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