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NPI Code Detail

MEDICARE: DOMINIKA PAULINA ZMUDA DNP

MEDICARE:   DOMINIKA PAULINA ZMUDA  DNP
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
1363LA2100XAcute Care Nurse Practitioner209.030947IL

General Provider Information

NPI Number : 1699579490
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIKA PAULINA ZMUDA DNP
Provider Business Mailing Address
First Line : 4921 N KNIGHT AVE
Second Line :
City : NORRIDGE
State : IL
Zip : 60706-2950
Country : US
Telephone Number : 708-265-9021
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 866-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2025
Last Update Date : 01/26/2026

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