Healthcare Provider Details

I. General information

NPI: 1215261342
Provider Name (Legal Business Name): KARIN GENEVIEVE ZYLKA AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2009
Last Update Date: 07/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10409 S ROBERTS RD
PALOS HILLS IL
60465-1931
US

IV. Provider business mailing address

6518 PARKSIDE DR
TINLEY PARK IL
60477-2885
US

V. Phone/Fax

Practice location:
  • Phone: 708-599-9500
  • Fax: 708-599-2791
Mailing address:
  • Phone: 708-305-1761
  • Fax: 708-599-2791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number147001322
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: