Individual
ALYSSA ZAGAJOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 SAUK TRL UNIT B, RICHTON PARK, IL 60471-1017
(708) 773-1643
Mailing address
15231 W 102ND PL, DYER, IN 46311-7763
(708) 925-5240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041463107
IL
363L00000X
Nurse Practitioner
Primary
209029795
IL
Other
Enumeration date
05/28/2024
Last updated
06/01/2024
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