Healthcare Provider Details

I. General information

NPI: 1841729035
Provider Name (Legal Business Name): LINDA ZAPCHENK FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA ZAPCHENK FNP

II. Dates (important events)

Enumeration Date: 06/09/2017
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20060 GOVERNORS DR
OLYMPIA FIELDS IL
60461
US

IV. Provider business mailing address

8504 W STUENKEL RD
FRANKFORT IL
60423-7752
US

V. Phone/Fax

Practice location:
  • Phone: 815-824-4406
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number036115600
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20915970
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: