Zdon, Jacqueline Rose

Zdon, Jacqueline Rose is an individual health care provider with primary practice located at 4400 W 95Th St Suite 205, Oak Lawn IL 60453-2654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Zdon, Jacqueline Rose can be contacted via phone (708) 346-4040.

Contact Information

Primary practice address
4400 W 95Th St Suite 205 Oak Lawn IL 60453-2654
Phone: (708) 346-4040
Fax: (708) 346-3287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085-004090 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2832-023 Wisconsin

Profile Details

NPI number 1003194796
LBN Legal business name Zdon, Jacqueline Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2011
Last updated Feb 22nd, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003194796 NPPES
Wisconsin MEDICAID 1003194796

Popular Providers