Healthcare Provider Details

I. General information

NPI: 1497355838
Provider Name (Legal Business Name): ESMERALDA ZAMORA APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 N DEARBORN ST STE 100
CHICAGO IL
60654-4618
US

IV. Provider business mailing address

635 N DEARBORN ST STE 100
CHICAGO IL
60654-4618
US

V. Phone/Fax

Practice location:
  • Phone: 312-694-2273
  • Fax: 312-694-2129
Mailing address:
  • Phone: 312-694-2273
  • Fax: 312-694-2129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277004465
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209021712
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: