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Ancy Zacharia, NP
Nurse Practitioner in Wheaton, Illinois
NPI 1053450494

Ancy Zacharia is a Nurse Practitioner based in Wheaton, IL. Ancy Zacharia practices in Wheaton, IL and has the professional credentials of NP. The NPI Number for Ancy Zacharia is 1053450494 and holds a License No. 041287164 (Illinois).

The current practice location address for Ancy Zacharia is 1800 N Main St, Wheaton, IL and can be reached out via phone at 630-614-4960 and via fax at 630-682-3727.

Location: 1800 N Main St, Wheaton, IL, 60187-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053450494
Provider Name
Ancy Zacharia
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1800 N Main St, Wheaton, IL, 60187-3112
Phone Number
630-614-4960
Fax Number
630-682-3727
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CE8854 01 IL RR MEDICARE PTAN (GROUP)
363149833 01 IL TAX IDENTIFICATION NUMBER
041287164 05 IL
K03097 01 IL MEDICARE PTAN (INDIVIDUAL)
208015 01 IL MEDICARE GROUP NUMBER
P00068858 01 IL RR MEDICARE PTAN (INDIVIDUAL)
institution
Provider Business Practice Location Address Details
Address
1800 N Main St
City
Wheaton
State
Illinois
Zip
60187-3112
Phone Number
630-614-4960
Fax Number
630-682-3727
person
Provider Business Mailing Address Details
Address
1800 N Main St
City
Wheaton
State
Illinois
Zip
60187-3112
Phone Number
630-614-4960
Fax Number
630-682-3727
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209000424 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
041287164 (Illinois)
Definition
Definition to come...
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