Healthcare Provider Details

I. General information

NPI: 1205665825
Provider Name (Legal Business Name): VICTORIA GAYE ZURKOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

17W535 BUTTERFIELD RD STE 1
OAKBROOK TERRACE IL
60181-4010
US

IV. Provider business mailing address

257 N OAKLAWN AVE
ELMHURST IL
60126-2522
US

V. Phone/Fax

Practice location:
  • Phone: 630-207-2603
  • Fax:
Mailing address:
  • Phone: 630-207-2603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF05240652
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: