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NPI Code Detail

MEDICARE: MRS. KATHLEEN M ZABOR PA-C

MEDICARE: MRS. KATHLEEN M ZABOR PA-C
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
1363AS0400XSurgical Physician Assistant085002197IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11871613489OTHERILGROUP NPI
2P00213949OTHERILRRMC
301633451OTHERILBCBS
4210105OTHERILGROUP PTAN

General Provider Information

NPI Number : 1578543492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN M ZABOR PA-C
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number :
Provider Business Practice Location Address
First Line : 4885 HOFFMAN BLVD
Second Line : SUITE 400
City : HOFFMAN ESTATES
State : IL
Zip : 60192-3722
Country : US
Telephone Number : 847-255-9697
Fax Number : 847-645-6431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 08/26/2025

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