Healthcare Provider Details

I. General information

NPI: 1922389303
Provider Name (Legal Business Name): APRIL ZATKOVIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 08/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 N STATE ST
CHICAGO IL
60610-2842
US

IV. Provider business mailing address

1330 N DEARBORN ST 403
CHICAGO IL
60610-2069
US

V. Phone/Fax

Practice location:
  • Phone: 630-433-8134
  • Fax:
Mailing address:
  • Phone: 630-433-8134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.292369
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: