MEDICARE: ESMERALDA ZAMORA APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	277004465	IL
2	363LF0000X	Family Nurse Practitioner	209021712	IL

General Provider Information

NPI Number	:	1497355838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESMERALDA ZAMORA APRN, FNP-BC

Provider Business Mailing Address
First Line	:	635 N DEARBORN ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4618
Country	:	US
Telephone Number	:	312-694-2273
Fax Number	:	312-694-2129

Provider Business Practice Location Address
First Line	:	635 N DEARBORN ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4618
Country	:	US
Telephone Number	:	312-694-2273
Fax Number	:	312-694-2129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2020
Last Update Date	:	12/09/2025

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