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NPI Code Detail

MEDICARE: KRISTIAN LEE ZAMORA

MEDICARE: KRISTIAN LEE ZAMORA
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1780542423
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIAN LEE ZAMORA
Provider Business Mailing Address
First Line : 309 NEW INDIAN TRAIL CT
Second Line :
City : AURORA
State : IL
Zip : 60506-2411
Country : US
Telephone Number : 877-243-0001
Fax Number :
Provider Business Practice Location Address
First Line : 309 NEW INDIAN TRAIL CT
Second Line :
City : AURORA
State : IL
Zip : 60506-2411
Country : US
Telephone Number : 877-243-0001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ KRISTIAN LEE ZAMORA ” Practice Location

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