Individual
MRS. ANGELYN M ZENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
915 CENTER ST, SUITE 1000, ELGIN, IL 60120-2106
(847) 695-1620
Mailing address
915 CENTER ST, SUITE 1000, ELGIN, IL 60120-2106
(847) 695-1620
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
106829
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615971
BLUE SHIELD
IL
Enumeration date
01/03/2008
Last updated
01/03/2008
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