Healthcare Provider Details

I. General information

NPI: 1073065751
Provider Name (Legal Business Name): ERIN COLLEEN ZAHRADNIK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2016
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 ORCHARD PKWY
WESTMINSTER CO
80023-9206
US

IV. Provider business mailing address

3825 HIGHLAND AVE TOWER 2 SUITE 303
DOWNERS GROVE IL
60515-1552
US

V. Phone/Fax

Practice location:
  • Phone: 720-321-8950
  • Fax: 720-321-8969
Mailing address:
  • Phone: 630-929-0632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number085.006041
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.0005130
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: