Healthcare Provider Details

I. General information

NPI: 1124391073
Provider Name (Legal Business Name): MARGARET M GARSTKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET M ZOLMIERSKI PA-C

II. Dates (important events)

Enumeration Date: 02/22/2012
Last Update Date: 07/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 SOUTHWEST HWY
PALOS PARK IL
60464-1200
US

IV. Provider business mailing address

700 E OGDEN AVE SUITE 304
WESTMONT IL
60559-1398
US

V. Phone/Fax

Practice location:
  • Phone: 708-274-4900
  • Fax: 708-274-4949
Mailing address:
  • Phone: 866-871-5737
  • Fax: 630-522-0843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number085000970
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: