Individual
DR. JANETH CONCEPCION JACINTO ZATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 MYRTLE LANE, HARDIN, IL 62047-0310
(618) 576-2416
(618) 576-9298
Mailing address
PO BOX 310, 2 MYRTLE LANE, HARDIN, IL 62047-0310
(618) 576-2416
(618) 576-9298
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
36068286
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000715000
BCBS
IL
05
—
36068286
—
IL
Enumeration date
11/08/2006
Last updated
12/31/2007
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