Healthcare Provider Details

I. General information

NPI: 1457261620
Provider Name (Legal Business Name): WILLIAM BRET ZBORIL RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 E MCNEIL ST
PHOENIX AZ
85042-1102
US

IV. Provider business mailing address

1107 E MCNEIL ST
PHOENIX AZ
85042-1102
US

V. Phone/Fax

Practice location:
  • Phone: 630-433-6058
  • Fax:
Mailing address:
  • Phone: 630-433-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number041297660
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: