Provider Demographics
NPI:1366629230
Name:ZEKAS, LINDA BETH (APN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:BETH
Last Name:ZEKAS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E. CHICAGO AVENUE
Mailing Address - Street 2:BOX 63
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2605
Mailing Address - Country:US
Mailing Address - Phone:312-227-4210
Mailing Address - Fax:312-227-9678
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:BOX 63
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-4210
Practice Address - Fax:312-227-9678
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-003928363LN0005X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care