Healthcare Provider Details

I. General information

NPI: 1538840715
Provider Name (Legal Business Name): KALYNA VERA ZAPARANIUK DNP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KALYNA VERA WITKOWSKY

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 N HOYNE AVE APT 4
CHICAGO IL
60622-4912
US

IV. Provider business mailing address

833 N HOYNE AVE APT 4
CHICAGO IL
60622-4912
US

V. Phone/Fax

Practice location:
  • Phone: 224-595-6842
  • Fax:
Mailing address:
  • Phone: 224-595-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number041.462706
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209.030926
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: