MEDICARE: KIRSTEN J ZIEGLER 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
1	363A00000X	Physician Assistant	085011391	IL

General Provider Information

NPI Number	:	1528816394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN J ZIEGLER PA-C

Provider Business Mailing Address
First Line	:	870 N MILWAUKEE AVE
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1521
Country	:	US
Telephone Number	:	847-475-2273
Fax Number	:	847-535-7761

Provider Business Practice Location Address
First Line	:	870 N MILWAUKEE AVE
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1521
Country	:	US
Telephone Number	:	847-475-2273
Fax Number	:	847-535-7761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	01/05/2026

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