Healthcare Provider Details

I. General information

NPI: 1457388662
Provider Name (Legal Business Name): TRESA E. ZIELINSKI APN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N CHILDRENS PLZ BOX #37
CHICAGO IL
60614-3363
US

IV. Provider business mailing address

233 E 13TH ST #607
CHICAGO IL
60605-3237
US

V. Phone/Fax

Practice location:
  • Phone: 773-327-3965
  • Fax: 773-327-3937
Mailing address:
  • Phone: 773-327-3965
  • Fax: 773-327-3937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: