Individual
BRENDA KAY ZAGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
450 N SEYMOUR AVE, MUNDELEIN, IL 60060-1835
(847) 949-4262
(847) 949-8526
Mailing address
1026 WRENS GATE, MUNDELEIN, IL 60060-1268
(847) 949-4262
(847) 949-8526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-007536
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4069841
CIGNA
IL
01
—
4932224
BLUE CROSS & BLUE SHIELD
IL
01
—
7308603
AETNA
IL
Enumeration date
07/07/2006
Last updated
09/18/2019
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