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Erica Zak

Family Medicine in Park Ridge, IL. Individual provider (NPI-1).

NPI number1982165288
StatusActive
Last updated in NPPESAug 23, 2022

Details

NPI
1982165288
Entity type
Individual (NPI-1)
Name
Erica Zak
Sex
Female
Sole proprietor
No
Enumeration date
Mar 28, 2019
Certification date
Aug 23, 2022
Last updated
Aug 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036.160555ILYes
207Q00000X Family Medicine125.074955IL
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1775 Ballard Rd
Park Ridge, IL 60068-1005

Phone 847-318-6020

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Phone 847-390-5900 · Fax 847-390-4757

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