Ancy Zacharia in Wheaton - Gerontology

Ancy Zacharia - NPI 1053450494

Ancy Zacharia is a Gerontology in Wheaton, Illinois. Ancy Zacharia practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Ancy Zacharia is 1053450494. The last update date is 2013-04-15.

Ancy Zacharia's current location address is 1800 N Main St, Wheaton, Illinois. You can contact this provider via phone number 6306144960 and fax number 6306823727. The mailing address for Ancy Zacharia is 1800 N Main St, Wheaton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ancy Zacharia
Address 1800 N Main St, Wheaton, Illinois
Phone Number 6306144960
Fax Number 6306823727
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1053450494
Provider Enumeration Date 2007-02-05
Last Updated Date 2013-04-15

Provider Mailing Address Detail

Address 1800 N Main St
City Wheaton
State Illinois (IL)
Post Code 601873112
Phone Number 6306144960
Fax Number 6306823727

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 363Lg0600X
Licence No 41287164
Definition:
An advanced practice registered nurse expert in providing care to older adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CE8854 IL RR MEDICARE PTAN (GROUP)
363149833 IL TAX IDENTIFICATION NUMBER
41287164 IL --
K03097 IL MEDICARE PTAN (INDIVIDUAL)
208015 IL MEDICARE GROUP NUMBER
P00068858 IL RR MEDICARE PTAN (INDIVIDUAL)

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FAQs about Ancy Zacharia

What is the unique 10-digit identifier code assigned to Ancy Zacharia by the Centers for Medicare & Medicaid Services?

The Ancy Zacharia has been issued the NPI (National Provider Identifier) 1053450494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Ancy Zacharia's physical address?

The Ancy Zacharia is physically located at 1800 N Main St, in the city of Wheaton, IL, with the postal code 601873112.

What is Ancy Zacharia's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ancy Zacharia is Gerontology, and the taxonomy code that categorizes this field of expertise is 363Lg0600X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053450494 to Ancy Zacharia?

The Centers for Medicare & Medicaid Services originally issued the 1053450494 to Ancy Zacharia on 2007-02-05.

When was the information pertaining to Ancy Zacharia most recently updated or revised?

The details related to Ancy Zacharia, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-15.

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