Individual
MARY JO ZAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
820 S IL ROUTE 59, BARTLETT, IL 60103-1694
(630) 213-9600
Mailing address
820 S IL ROUTE 59, BARTLETT, IL 60103-1694
(630) 213-9600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008257
IL
363LF0000X
Family Nurse Practitioner
209008257
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL5966
MEDICARE PTAN (GROUP)
IL
01
—
IL5966001
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
08/13/2010
Last updated
09/22/2020
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