Provider Demographics
NPI:1073652681
Name:ZERA, JANE E (RN)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:E
Last Name:ZERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SHERMAN AVE
Mailing Address - Street 2:STE 350
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3777
Mailing Address - Country:US
Mailing Address - Phone:847-492-3040
Mailing Address - Fax:847-492-3045
Practice Address - Street 1:1800 SHERMAN AVE
Practice Address - Street 2:STE 350
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3777
Practice Address - Country:US
Practice Address - Phone:847-492-3040
Practice Address - Fax:847-492-3045
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN212041Medicare ID - Type UnspecifiedMEDICARE GRP #