Healthcare Provider Details
I. General information
NPI: 1407546153
Provider Name (Legal Business Name): ERIN ZUREK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20201 CRAWFORD AVE
OLYMPIA FIELDS IL
60461-1010
US
IV. Provider business mailing address
595 FRONT ST
LISLE IL
60532-2289
US
V. Phone/Fax
- Phone: 708-852-2535
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: