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Individual

ZOE MAE MACKAY ZACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 GRANT ST, GARY, IN 46402-6099
(219) 866-4000
Mailing address
506 TIMBERS TRL, SAINT CHARLES, IL 60174-1198
(630) 841-1990

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004698A
IN
363A00000X
Physician Assistant

Other

Enumeration date
10/02/2024
Last updated
01/08/2025
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