Healthcare Provider Details

I. General information

NPI: 1154305340
Provider Name (Legal Business Name): SHIRLEY A HILZINGER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 HIGHLAND AVE SUITE 200
DOWNERS GROVE IL
60515-2100
US

IV. Provider business mailing address

540 N OAK ST
HINSDALE IL
60521-3850
US

V. Phone/Fax

Practice location:
  • Phone: 630-969-8558
  • Fax:
Mailing address:
  • Phone: 630-230-9688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: