Zacharia, Ancy

Zacharia, Ancy is an individual health care provider with primary practice located at 1800 N Main St Second Floor, Wheaton IL 60187-3112. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Zacharia, Ancy can be contacted via phone (630) 614-4960.

Contact Information

Primary practice address
1800 N Main St Second Floor Wheaton IL 60187-3112
Phone: (630) 614-4960
Fax: (630) 682-3727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 041287164 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209000424 Illinois

Profile Details

NPI number 1053450494
LBN Legal business name Zacharia, Ancy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Apr 15th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053450494 NPPES
Illinois Other CE8854 RR MEDICARE PTAN (GROUP)
Illinois Other 363149833 RR MEDICARE PTAN (GROUP)
Illinois MEDICAID 041287164 RR MEDICARE PTAN (GROUP)
Illinois Other K03097 RR MEDICARE PTAN (GROUP)
Illinois Other 208015 RR MEDICARE PTAN (GROUP)
Illinois Other P00068858 RR MEDICARE PTAN (GROUP)

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