Individual
ZIBA ONA KISIELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S YORK ST STE 4280, ELMHURST, IL 60126-5632
(331) 221-9004
(312) 221-2748
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5291
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085010771
IL
Other
Enumeration date
08/29/2024
Last updated
09/18/2024
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