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NPI Code Detail

MEDICARE: ELISE CATHERINE ZIEMER PA-C

MEDICARE: ELISE CATHERINE ZIEMER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant085.009700IL
2363A00000XPhysician Assistant085.009700IL

General Provider Information

NPI Number : 1396435855
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE CATHERINE ZIEMER PA-C
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 836 W WELLINGTON AVE STE 1423
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5147
Country : US
Telephone Number : 773-296-0595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2023
Last Update Date : 01/18/2026

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Directions to “ ELISE CATHERINE ZIEMER PA-C” Practice Location

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